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Motor Homes

Travel Trailer

Vacant Mobile Homes

Watercraft

Jet Ski

Motorcycle

Umbrella

Vacant   Dwelling/CPL

In-home Business

Homeowners

1-4 Family Dwelling

Condo/Renters

Special Events

Antique Auto

Contact Us

The following guidelines and applications are available to be downloaded to your computer.

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American Modern Home now offers snowmobile coverage in Vermont. Click here for more details.

Surplus Line Managers Brokerage Agreement (280K)

Commercial Lines

American Modern Insurance Group - Marketing Bulletin
Increase in Service Fees (63K)

Mobile Home, Motor Home, Travel Trailer

American Modern Insurance Group

For applications and rates, go to modernLINK

Aegis Security Insurance Company

Direct Bill Payment Options (55K)

Manufactured Home Rates  (315K)
Effective new business 04/15/03, renewal business 06/01/03
Seasonal: effective new business 03/01/08, renewal business 05/01/08

Manufactured Home Rates  (315K)
effective new business August 1, 2008, renewal business October 1, 2008

Manufactured Home Rates  (315K)
Effective: New business 08/01/08, Renewal business 01/01/08

Manufactured Home Application (39K)

Scheduled Personal Property Rates (10K)

Woodstove Questionaire  (22k)

Vacant Mobile Homes

American Modern Insurance Group

For applications and rates, go to modernLINK

Vacant Mobile Homes

American Modern Insurance Group

For applications and rates, go to modernLINK

Watercraft

American Modern Insurance Group

For applications and rates, go to modernLINK

Hagerty Insurance

Wooden and/or Classic Boats  (44KB)

Snowmobile

American Modern Insurance Group

For applications and rates, go to modernLINK

Motorcycle

Surplus Line Managers, Inc.

Letter - Personal Lines Motorcycles (90K)

Motorcycle Bulletin (75K)

American Modern Insurance Group

For applications and rates, go to modernLINK

Umbrella

RLI Insurance

Personal Umbrella Quote On Line and all policy forms (contact Suzanne Russell if you don't have a username or password)

Personal Umbrella Premiums (117K)
effective August 1, 2007 new business, September 1, 2007-renewal

Personal Umbrella Application - 276  - Fill in and print - (425K)
effective 10/01/08

Policy Provisions-320 (65K)

257D Rejection of Uninsured Motorists/Underinsured Motorists (11K)

Effective March 1, 2007

Umbrella Policy w/Amendatory Endorsement (39K)
Effective March 1, 2007

United States Liability Insurance Group

Excess Personal Umbrella Click for online quote

Personal Umbrella Liability Application Click for online quote

Personal Umbrella Liability Application  (printable version- 53KB)

Comprehensive Personal Liability Application Click for online quote

Comprehensive Personal Liability Application (printable version - 200K)

Driver Exclusion Endorsement (20K)

Physician's Opinion Statement - Driver Fitness (50K)

Farm Personal Catastrophe Excess Supplemental Application (96K)

Excess Liability

Excess Comprehensive Personal Liability, Auto or Watercraft (118K)

Excess Comprehensive Personal Liability, Auto or Watercraft Application (30K)

Vacant Dwelling/CPL

American Modern Insurance Group

For applications and rates, go to modernLINK

In-home Business

RLI Insurance

In-Home Business Policy (8K)

In-Home Business Quote On Line

@Home Business Protection Program (443K)
effective 2/1/06 new business and 6/1/06 renewals

@Home Business Application (351K)

@Home Business Application (273 K)
effective 1/1/08

Federal Terrorism Insurance Coverage (66K)

In-Home Business Rating Worksheet (192K)

Homeowners

Lexington Insurance Company (Note: Minimum $300,000 Coverage A)

Homeowners Application (324K)

Homeowners Composite Application this can be completed online, then printed out and mailed or faxed to Surplus Line Managers. (105K)

Excess Flood Application (51K)

Personal Inland Marine Application (102K)

Personal Umbrella Application (129K)

Dwelling Property Application (107K)

Builder's Risk Supplemental Application (34K)

Older Home Update Questionnaire (23K)

Pet Questionnaire (21K)

Unprotected Rating Questionnaire PC 9 & 10 (21K)

Supplemental Heating Questionnaire (21K)

Supplemental Corporate Named Insured Questionnaire (18K)

United States Liablility Insurance Group

Dwelling Fire (117K)

Condominium(233K)

Homeowner Daycare Supplemental (237K)

1-4 Family Dwelling

American Modern Insurance Group

For applications and rates, go to modernLINK

United States Liablility Insurance Group

1-4 Family Dwelling Click for online quote

1-4 Family Dwelling  (printable version - 39KB)

Condos/Renters

United States Liablility Insurance Group

Condominium/Renters Package Click for online quote

Special Events

United States Liability

Main Event Application  Click here for online quote

Antique Auto

American Modern Insurance Group

Elite Collector Car application (17K)

Hagerty Insurance

Collector Automobile Insurance (296K)