NIA
COMMERCIAL LINES SUPPLEMENTALS/FORMS
ARIZONA
1. Networked Insurance Supplemental Application
2. NIA - New Venture Questionnaire
3. Building Update Questionnaire
4. Older Building Questionnaire
5. Sample Broker of Record Letter
6. Apparel Manufacturing Supplemental
7. Auto Repair Center Questionnaire
8. Business Income Worksheet
9. Computer Consultant Questionnaire
10. Condo/Townhome Supplement + Water Damage Questionnaire– Allstate
11. Consulting & Design Professional Liability Questionnaire – Architects & Engineers
12. Electronics & Instruments Manufacturers Supplemental
13. Electronics and Technology Supplemental
14. Financial Pacific Apartment Building Owners Questionnaire
15. Fireman’s Fund Underwriting Information Form
16. Food Processors Supplemental
17. Garage Questionnaire + NFPA Requirements: Spray Booths Addendum
18. Grocery Store Supplemental
19. Habitational Supplemental
20. Hotel/Motel Questionnaire
21. Janitorial Questionnaire
22. Lessor’s Risk Questionnaire
23. Lessor’s Risk with Restaurant
24. Manufacturers Supplemental
25. Medical Statement
26. Metal Manufacturers Supplemental
27. Metalworkers Supplemental
28. Mobile Home Park Supplemental
29. Mulitple Named Insured Questionnaire
30. Non-Owned Automobile Supplemental
31. Ocean Marine Application – International Transit/General Cargo
32. Ocean Marine Application – Technology Ocean Cargo
33. Plastic & Rubber Manufacturers Supplemental
34. Pollution Liability Questionnaire
35. Ready Mix Questionnaire
36. Restaurant Questionnaires
37. Wholesalers Supplemental
Contractors
1. General Liability - Supplemental
2. Contractors’ Equipment – Supplemental
3. Contractors Questionnaire – New Business
Financial Pacific
4. Contractors Questionnaire – Renewal
Financial Pacific
5. Farm Labor Contractors Questionnaire
6. Great American – Supplemental for Cranes
7. Safeco Contractors Supplemental
8. Subcontractor Insurance Requirements
9. Zurich Specialty Contractors Supplemental
10. Zurich Commercial Builders Risk Application
NIA CL Supplementals – Arizona - ed. 12/2003 2