Privatized Government Services
Request Form

Unique businesses require unique expertise and experience in insurance and risk management.
Our Agency has been gaining that unique expertise and experience in providing insurance coverage and risk management counsel to firms involved in the privatization of governmental services for several years.

Privatized Governmental Services

Coverages are available for:

Education   Garbage/Trash Service
Water/Sewer Services   Adult Maximum Security Jail Facilities
Adult Medium/Maximum Security Facilities   Juvenile "Boot Camp" Facilities
Juvenile Pre-trial Facilities   Temporary Holding Facilities
"Half-way Houses   Pre-release Centers
Drug/Alcohol Rehab Centers   Virtually any other type of privately operated State provided services.

The agency represents companies and brokerage firms that make it possible for us to secure quotes from many companies capable of providing necessary insurance protection for privatized governmental services.

Does your liability policy have coverage for:

Civil rights violations?
Employment related practices?
Punitive damages?

Please fill in the following for more information

Name (First Named Insured & Other Named Insured)

Phone:

Mailing Address (of First Named Insured)

Address Line 1:
Address Line 2:
City: 
State:
Zip Code:

Business Type

Individual Partnership
Corporation Joint Venture
Subchapter "S" Corporation Limited Corporation
Not-for-Profit Organization Other (Please Specify)

Business Information

Years in business:

Inspection Contact:
Phone Number (Area Code, Number, and ext.):
Fax Number:
E-mail Address:

Accounting Records Contact:
Phone Number (Area Code, Number, and ext.):
Fax Number:
E-mail Address:

Nature of Business:

Please click on specific coverage for quote:

Liability Forms that include

Contractual Employment Practices
Professional Liability Punitive Damages
Civil Rights

Business Auto

Covering unusual exposures for privatization

Aircraft
Property

Broad Form including Flood and Earthquake

Workers Compensation
Employee Dishonesty
Environmental Impairment
Employee Benefits
Life, Health, Retirement Cafeteria Plans

Other Specialty Coverages as required