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Formerly Bass & Associates Insurance Svcs

 
   
 
 
Supplemental Applications

PRODUCER AGREEMENT:  (Click here for producer agreement)

Aviation Brochure  (click here for brochure)

Aviation Supplemental Application (click here for application)

Aviation Work Comp Supplement (click here for supplement}

Maverick Brochure (click here for broker questionnaire)

Workers' Comp Supplement:  (click here for supplemental application)

Restaurant Bar and Taverns Supplement (click here for supplemental application)

Physicians Surgeons Professional Liability Application (click here for supplemental application)

Misc Medical Professional Liability (click here for supplemental application) 

Vela/Gemini Contractors Questionnaire(click here for supplemental application) 

Partners/North American Capacity Contractors Questionnaire  (click here for supplemental application) 

Custom Home Builders Contractors Questionnaire  (click here for supplemental application) 

Products Supplemental Application (click here for supplemental application)

NCIC  General and Artisan Contractors CGL application (click here for supplemental application)

Paygo Brochure (Chartis) (click here for supplement)

Owners Contractors Protective  (OCP) (click here for supplement)

Course of Construction supplemental app  (click here for supplement)

Liquor application (click here for supplement)

HomeHealth/CareHospice applicationand supplement (Click here for supplement )

Nursing home application (Click her for supplement0

Long term care indication (click here for supplement)

Security guard program app (click here for supplement)

Fine Dining program app (click here for supplemental)

Lumber program app (click here for supplemental)

Lumber program SOV app (click here for supplemental)

License # OB91482