Desert Specialty Underwriters, Inc.
Desert Specialty Adjusters, Inc.

 

 

 

Applications and Forms          

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PERSONAL LINES
     Arizona Homeowners Ratebook (eff. 8/1/05)
     Colorado Homeowners Ratebook (eff. 2/1/07)
     New Mexico Homeowners Ratebook (eff. 2/1/07) 
   

    Applications
        Homeowners

        High Value Homeowners (over $500,000 Dwelling Value)

       
Dwelling Fire Application

        Personal Articles Floater

    Questionnaires, Signed Endts., Other Endts.
        Arizona Producer Affidavit

        Wood Stove Questionnaire
        Application Limitation Endts (CM101, 102, 158, 171, 183)

        High Value Homeowners Liability Limitations

        Alarm Warranty (CM136)
        Animal Exclusion (CM158)
        Appurtenant Structures Exclusion (CM168)
        Business Pursuits Exclusion (CM154)
        Complete Roof Exclusion (CM166)
        Day Care Exclusion (CM114)
        Farming Exclusion (CM128)
        Firearms Exclusion (CM 183)
        Insured Premises Theft Limitation (CM129)
        Insured Dwelling Roof Exclusion (CM149)
        Liability and Medical Payments Exclusion (CM143)
        Medical Payments Exclusion (CM144)
        Total Mold Exclusion (CM187)
        Pre-Existing Damage Exclusion (CM113)
        Professional Services Exclusion (CM132)
        Rental Exclusion (CM162)
        Theft Exclusion (CM120)
        Theft from Other Structures Exclusion (CM167)
        Vehicle Theft Exclusion (CM142)
        Watercraft Exclusion (CM140)
        Woodstove Exclusion (CM130)

    Common Coverage Forms

       Homeowner's Form HO-3 (8/89)
        Dwelling Fire Special Form - DP-3
        Dwelling Fire Basic Form - DP-1
        Personal Liability Form

COMMERCIAL LINES

    ACORD
        
 Package
           
General Information
            Property
            General Liability
            Equipment
            Small Commercial
            Restaurant Questionnaire
            Builder's Risk
            Cargo
            Umbrella
            Cancellation/Lost Policy Release
            Property Loss Notice
            Liability Loss Notice

    Other Common Commercial Apps
   
       
Contractor's Questionnaire
            Contractor's Equipment
            Special Event

            Oil and Gas Contractors

            Alarm/Safety Equipment GL
            Security Guard GL
            Fire Suppression Contractors GL

            Architect, Engineers, Surveyors
            CYBER Liabilities
            Media Related
            Miscellaneous E&O
            Real Estate Related

            Directors and Officers
               Non-Profit Application
               For Profit Application
            Employment Practices Liability
 

   Common Commercial Coverage Forms

          Bldg. and Personal Property
            Basic Form Cause of Loss
            Special Form Cause of Loss
            General Liability Coverage Form

            CGL Total Mold Exclusion (CM185)
            Property Total Mold Exclusion (CM186)

  Miscellaneous

            EIFS Systems

          Lloyd's Ratings

            DSU, Inc. Producer Agreement