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Insurance Forms

NCIC Application

"This policy is issued by your risk retention group. Your risk retention group may not be subject to all of the insurance laws and regulations of your State. State insurance insolvency guaranty funds are not available for your risk retention group...

NCIC Supplemental Application

"This policy is issued by your risk retention group. Your risk retention group may not be subject to all of the insurance laws and regulations of your State. State insurance insolvency guaranty funds are not available for your risk retention group..."

Subscription and Shareholder's Agreement

"This Subscription and Shareholders Agreement (the “Agreement”) is made by and between National Contractors Insurance Company, Inc., a Risk Retention Group, a Montana corporation..."

Resume of Experience

A Resume of Experience Form is to be submitted to accompany applications on all accounts that have not completed two full years in business or at the request of the Underwriter.

No Known Loss Letter and Prior Insurance Declaration

A No Known Loss Letter and Prior Insurance Declaration or three years currently valued loss runs are required on each account. This form is designed to be used as a standard no known loss letter or to replace the need for company issued loss runs on accounts that have been loss free.

 

 


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