Applications

Our complete list of available applications is below. Please contact us if you do not see the application you need or need assistance completing one. Download, print, and email or fax an application to us at info@nationaleands.com or 661-266-9391. Applications open in Adobe PDF format.

 

Application Description Formats Available
COVID-19 Abatement & Cleaning Questionnaire   PDF
Contractor’s Pollution Liability Application
(Chubb Westchester)
Environmental Insurance-Contractors PDF
Contractor’s Questionnaire General Liability Insurance PDF
CPL Quick Indication Form CPL Environmental PDF Word
Crane Questionnaire Crane Insurance PDF
Contractors and Consultants Application Environmental Insurance PDF
Fire Suppression Supplemental Application Fire Suppression PDF
Hazardous Transporters Commercial Auto App
(Chubb Westchester)
Hazardous Waste Transporters PDF
NP3 Application GL, Pollution, Excess Casualty PDF
Premises Pollution Liability Application
(Chubb Westchester)
Site Pollution PDF
Restoration Contractors Pollution Liability Application
(Chubb Westchester)
Environmental Insurance PDF
Environmental Insurance Application
(Liberty International)
Environmental Insurance PDF Word
Owners & Operators Application Site Pollution PDF Word
Garagekeepers   PDF
     
Commercial Diving   PDF
Contractors Supplemental Form   PDF
Crane Milwright and Riggers   PDF
Energy Consultants Energy Risks PDF
Energy Employee Benefits Energy Risks PDF
Energy Excess Energy Risks PDF
Energy Hauling Energy Risks PDF
Energy Hired Auto Energy Risks PDF
Energy Pipeline Energy Risks PDF
Energy General Application Energy Risks PDF
General Mining Mining Risks PDF
Lease Operatior Mining Risks  
Maritime Employers Liability   PDF
Mine Contract Labor Mining Risks PDF
Owners and Contractors Protective Liability Mining Risks PDF
Specific Mine Mining Risks PDF
Prep Plant Supp.   PDF
     
ODPP Application   Word
ODPP Worksheet   Word
     
Life Sciences Application   PDF
Clinical Trials Application   PDF
Medical Equipment Application   PDF
Medical Laboratories Application   PDF
Medical Marijuana Application   PDF
Medical Products Application   PDF
Tissue Banks Application    
Agricultural Environmental Insurance Application   PDF
Manufacturers Products Pollution Application   PDF
Environmental Products Pollution Application   PDF
Environmental Energy Application   PDF
Stone/Aggregate Quarry Program Supplemental Application Mining Risks PDF
Mining Auto Supplemental Application Mining Risks PDF
Demolition & Blasting Contractor Application Mining Risks PDF
Drilling Contractor GL Supplemental Application Mining Risks PDF
GL Hired & Nonowned Auto Supplemental Application Mining Risks PDF
Machinists & Fabricators Supplemental Application Mining Risks PDF
GL Hired & Nonowned Auto Supplemental Application Mining Risks PDF
Mining Supplemental Application Mining Risks PDF
Off Road Coal Hauler GL Supplemental Application Mining Risks PDF
Service Contractor GL Supplemental Application Mining Risks PDF
Bailee’s Coverage Application   PDF Word
Architects and Engineers Professional Liability   PDF
Real Estate Developers and Owners Professional Liability   PDF
Contractors Professional Liability   PDF
Architects, Engineers, and Construction Managers Professional Liability   PDF
Products Pollution Application   PDF
Environmental Pollution & Casualty Application (Manufacturers and Distributors)   PDF
Hired and Non-Owned Auto Supplemental   PDF