The insurance applications for municipalities up to 75,000 in population can be found here. These supplemental applications can be submitted along with your Acord applications. Coverages and limits vary between programs. Refer to your proposal for actual coverage and limit details.
For your convenience, click below to download all applicable supplementals into a single document.
To individually download the applications included above, choose from the appropriate application(s):
General Supplemental Application (Required)
Municipal Operations Supplement (Required)
Water & Water-Related Entity Supplement (If Applicable)
Law Enforcement Liability Supplement (If Applicable)
Public Officials and Management Liability (POML) Application (If Applicable)
Workers’ Compensation for Miscellaneous Public Entities (If applicable) Available in AL, AZ, CA, CO, CT, FL, GA, IL, MD, ME, MS, MT, NC, NE, NH, NJ, NV, OK, PA, SC, SD, TX, UT and VA. This is not offered on a monoline basis. Workers’ Compensation for entities in New York state are eligible under another program. To learn more about this program, click here.