Community Works Insurance Program Applications
Click on the link below to download your selected application (Microsoft Word Required): 

Public Entity Application Applicant Information Section
(required on any and all public entity risks in addition to the Acord applications) 

Public Entity Application General Liability
(required on any and all public entity risks in addition to the Acord applications)

Public Entity Supplemental Questionnaires:

  A - Streets/Roads/Highways/Bridges
  B - Special Events
  C - Day Care
  D - Landfill/Dump/Refuse Site/Incinerator
  E - Sewer/Water Utility
  F - Electric Utility
  G - Gas Utility
  K - Recreational Activities
  M - Dams and Reservoirs
  N - Port/Transportation/Airport Authorities
  P - Miscellaneous Exposure
  Q - Convention/Civic Center Exposure

Environmental Insurance Application

Employment Practices Liability Application

Employment Practices Liability Application  - NY

Non-Owned & Hired Auto Application
(to be completed in addition to the above applications if the insured hires or borrows any vehicles, or employees use their own vehicles on company business)

Public Officials Liability Application

Supplemental Building Application
(for each building valued over 1 million, at the underwriter's discretion)

Supplemental Downsizing / Layoff Information Form

Public Entity Application Law Enforcement Liability Section