Bedford Underwriters Insurance

HEALTHCARE:
Mental Health Facilities
Nurses
Nurse Midwife
Nursing Home
Paramedics and EMTs
Physicians and Surgeons
Psychiatrists
Social Services
Specified Medical

315 East Mill Street | PO Box 278 | Plymouth, WI 53073 | (800) 735-1378

Applications

Applications categories are listed below. Click on a category to view a listing of application links directly related to that category. Please contact us if you are unable to locate a specific application.

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Application Categories

ACORD
Auto & Garage Applications
Environmental Applications
General Liability Applications
Healthcare Applications
Miscellaneous Applications
Personal Lines Applications
Professional Liability Applications
Property & Marine Applications
Workers Compensation Applications


ACORD

Agent/Broker of Record Change
Automobile Supplement
Business Auto Section
Business Owner Application
Cancellation Request/Policy Release
Certificate of Liability Insurance
Commercial General Liability Section
Commercial Insurance Application
Contractors Supplement
Crime Section
Dwelling Fire Application
Equipment Floater Section
General Liability Notice of Occurrence/Claim
Homeowner Application
Hotel/Motel Supplement
Insurance Binder
Property Loss Notice
Property Section
Restaurant/Tavern Supplement
Statement of No Loss
Umbrella/Excess Section
Vehicle Schedule
Wisconsin Commercial Auto Coverages/Limits Section
Workers Compensation Application
Workers Compensation - First Report of Injury or Illness

Auto & Garage Applications

Commercial Auto Physical Damage
Dealers Open Lot & Garage Keepers Legal Liability
Filing Requests
Food Delivery
Garage Liability
Garage Liability-Century Surety
Heavy Bus, Truck and Equipment
Motorcycle Repair
Motorhome & RV Repair
Motor Truck Cargo
Taxi Cabs
Valet Parking
Welding

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Environmental Applications

Ag Dealers Choice Pollution
Dry Cleaners Program
Environmental Consultants
Environmental Contractors
Fire/Water Restoration Contractors
Mold Coverage for Non-Environmental Contractors
Mold Remediation Contractors
Monoline Motor Vehicle Pollution Liability
Pollution Liability Site Specific
Pollution for Non-Environmental Contractors
Storage Tank

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General Liability Applications

Adult Day Care
Alarm Installer
Artists and Crafters
Assisted Living
Apartments
Barber and Beauty Shop
Catering
Clubs (Civic, Social, Service and Non-Profit)
Contractors (Atlantic Casualty)
Contractors (Capitol Specialty)
Convenience Store
Condo and Homeowner Association
Contractors Questionnaire
Day Care Questionnaire
Dwelling
Exterminators
Fairgrounds
Firearms Questionnaire
Flea Markets & Swap Meets
Go Kart Questionnaire
Home Healthcare
Homeowners Association
Hotel and Motel
Health & Exercise Salon
Hunting Club
Liquor Liability
Machine Shop
Martial Arts
Medical Professionals (Capitol Indemnity)
Mobile Home Park
Pawn Shops
Pesticide Applicators
Private Investigator
Products Liability
Outdoor Recreational Clubs
Outfitters and Guides
Owners and Contractors Protective
Resort and Campground
Restaurants, Bars, Taverns, Bowling Centers and Nightclubs
Roofing (Atlantic Casualty)
Roofing Contractor
Safety Equipment
Sawmill Questionnaire
Security Guards
Snow Removal
Special Events (Also need an ACORD app)
Sports Camps and Leagues
Sun Tanning
Swimming Pool
Tree Trimming
Welding, Brazing and Cutting
Wrecking Building

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Healthcare Applications

Acupuncturists
Adoption and Foster Placement
Adult Day Care
Allied Medical
Ambulance
Assisted Living Residential Care
Chiropractors
Clinical Research
Clinics
Counselors
Dentists
Drug and Substance Abuse Testing
Group Home
Home Health Care
Managed Care Organizations
Medical Product Sales or Equipment Rental
Medical Labs
Medical Spa
Medical Staffing
Medical Students
Mental Health Facilities
Nurses
Nurse Midwife
Nursing Home
Paramedics, EMTs and Nurse Practitioners
Physicians and Surgeons
Psychiatrists
Social Services
Specified Medical

Top


Miscellaneous Applications

Aircraft
Animal Mortality
Bond
Commercial Horse Liability
Directors and Officers - For Profit
Directors and Officers - Not for Profit
Employment Practices Liability
Hole In One
Horse Farms
Liquor Liability
Liquor Liability - Badger Mutual (Illinois)
Liquor Liability - Badger Mutual (Minnesota)
Ocean Cargo
Package Application
Patent Infringement
Prize Indemnification
Public Officials
Railroad Protective
Rain Insurance
Tenant Discrimination
Wrongful Acts

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Personal Lines Applications

Dwelling Fire (Use ACORD form)
Homeowners (Use ACORD form)
Personal Articles Floater
Protection Class 9 & 10 Questionnaire
Personal Umbrella
Supplemental Homeowner

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Professional Liability Applications

Appraisers
Arbitrator
Architect & Engineers
Association
Auctioneer
Bookkeeping and Tax
Claim Adjuster
Collection Agency
Computer Consultant
Contractors Contingent
Employment Agency
Escrow Agent
Executive Recruiting Consultants
Franchiser
Freight Forwarders
Home Inspector
Insurance Agents and Brokers
Interior Design
Land Surveyors
Lawyers Professional
Manufactures E & O
Miscellaneous Professional
Mortgage Bankers
Mortgage Brokers
Multimedia Newspaper, Radio, & TV
Printers
Property Inspectors
Real Estate Services
Service and Technical
Technical Consulting
Testing Laboratories
Third Party Administrators
Title Escrow Closing Services
Travel Agents
Trustee Professional

Top


Property & Marine Applications

Agricultural Equipment
Bailee's Customers
Boat Dealers
Builders Risk
Contingent Cargo
Contractors Equipment
Equipment Dealers
Fine Art Dealers
Furriers' Block
Furriers' Customers
Hull and P & I
Installation Floater
Jewelers Block
Livestock Floater
Marina Package
Marina Program
Miscellaneous Property
Moving and Rigging
Package App - Badger Mutual
Truck Cargo
Transportation
Vacant Property
Warehouseman's Legal
Wood Manufacturing
Yacht

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Workers Compensation Applications

Contractors
Auto Dealers
Retail/Wholesale
Truckers
Restaurants
Manufacturing

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