HCC Contractor Application
Please complete the form below and click the submit button to complete the application.
Fields marked with (*) are required fields.
Enter the Percentage of Work in respective Classifications
"Contractors Coverage Enhancement Package" refers to the endorsements which provide a mix of enhanced and additional coverage’s, including:
Primary & Non-Contributory to Other Insurance, Waiver of Subrogation-Blanket, Broad Knowledge of Occurrence, Contractual Liability-Railroads, Contractual Liability for Personal & Advertising Injury, Electronic Data Liability, Expected or Intended Injury, In Rem Actions, Liberalization Clause, Non-Owned Aircraft, Non-Owned Watercraft, Property Damage-Elevators, and Supplementary Payments.
This complimentary package of enhancements is provided to the insured at no additional charge.
*Refer to forms HCS 040 01 and HCS 040 06 for the actual endorsement wording and policy amendments.
"Terrorism Coverage" refers to coverage provided for acts of terrorism certified by the Secretary of the Treasury in concurrence with the Secretary of State and the Attorney General of the United States in accordance with the federal Terrorism Risk Insurance Act. This coverage is provided to the applicant at no additional charge.*Refer to form CG 21 70 01 08 Cap On Losses From Certified Acts of Terrorism and form IL 09 85 01 08 Disclosure Pursuant To Terrorism Risk Insurance Act for more details.
Additional Insured - Owners, Lessees or Contractors - Completed Operations." This endorsement amends Section II of policy to include as an insured the person or organization shown in the Schedule, and provides the coverage included in the products-completed operations hazard. This endorsement is available for no charge.*Refer to form CG 20 37 07 04 for the actual endorsement wording and policy amendments.
* Cost is $500.00 per A/i
HCC Contractor Application - (Complete)
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