Forms

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Producer Agreement
Agreement of “Good Faith” to write Business with JJFL
PRODUCER-AGREEMENT

IRS W9 Form
W-9 2018 (Fillable)

Frame Construction Buildings Form
Frame Construction Buildings Form

Claims Incident Report Form
Claims Incident Report Form

Bid Bonds/Certificate Forms
Bid Bond Info-Form (Submit Online)
Certificate of Insurance Form

Environmental Coverage Forms
Environmental Forms

Cert of NYS Worker’s Comp Form C-105.2
NYS Workers Comp Form C-105.2

NEW YORK ANTI-ARSON
New York Anti-Arson (Fillable)
AFFIDAVIT BY PRODUCING BROKER-NJ
NJ-SLPS-6-Cert-1 (Filllable)

PART C – AFFIDAVIT BY PRODUCING BROKER-NY
NYSID Form 41C (MS Word)

1609-PR – Pennsylvania Surplus Lines
1609-PR – Pennsylvania SLA (Fillable)PRODUCER-AGREEMENT