2022 Coverage Documents
Workers’ Compensation
- Master Workers’ Compensation Application
- Board Member Only Application
- Coverage Document
- Excess Workers’ Comp Policy Summary
- Independent Contractor Status Form
Property and Liability Applications
1. Submit with the appropriate Operations Exposure Schedule. 2. Complete the form that corresponds to your entity type.Common Terms and Conditions
Property
- Coverage Form
- Cosmetic Damage Waiver Endorsement
- Wind and Hail Deductible Endorsement
- Wind and Hail Deductible Buyback Endorsement
- Business Income Worksheet
- Cemetery Bailees
Terrorism and Malicious Attack
Equipment Breakdown
Crime
Public Entity Liability
- Summary Page
- Coverage Form
- Sanitation Maintenance Warranty Deductible
- No Fault Water Intrusion & Sewer Back-Up Opt Out
- Additional Covered Member – As Required by Contract
- Additional First Named Member – Designated Sub-District
- Current Member Inactive Special District Status