Non-Profit Community Associations

Excess and Umbrella Liability

CNA Logo

This is an application for Umbrella Liability Coverage. Please note that this policy is intended to extend over the CNA community association D&O policy offered by Ian H. Graham. Umbrella coverage will be quoted based on the following information and acknowledgements of underwriting requirements.
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
Check if same as Association physical address
Mailing Address
 
City
State
Zip Code
Telephone
e.g.(123)456-7890
Email
Fax
e.g.(123)456-7890
Website
(if applicable)