Non-Profit Community Associations

Directors' & Officers' Liability

Crime & Fidelity Insurance

Excess and Umbrella Liability

CNA Logo

This is an application for a claims-made policy which, subject to its provisions, applies only to any Claim first made against the Insureds during the Policy Period. No coverage exists for Claims first made after the end of the Policy Period unless, and to the extent, the Extended Reporting Period applies.
Please note: Before a policy can be issued, the signature of a board member or property manager is required on this application.
Tell us who you are:
We will deliver quote and policy correspondence to the email address provided below:
Email Address:
Agent/Broker Information
Contact Name:
Firm Name:
Address 1:
Address 2:
City:
State:
Zip:
Phone:
e.g.(123)456-7890
Fax:
e.g.(123)456-7890
Email:
How did you hear about us?
1. Applicant Non-Profit Association Information
Association Name
Mailing Address
 
City
     State      Zip Code
Check if physical address is the same as mailing address
Physical Address
City
     State      Zip Code
Contact Name
Telephone
e.g.(123)456-7890
Email
Fax
e.g.(123)456-7890
2. Association Type
3. Property Manager Information (if applicable)
Check if Entity does Not have a Property Manager
Management Company Name
Address
 
City
State
Zip Code
Telephone
e.g.(123)456-7890
Email
Fax
e.g.(123)456-7890
Website
(if applicable)