Carriers

DJL is a highly regarded general agent writing quality business for leading insurance companies.
We have a reliable, professional service team and a keen, respectful understanding of producer-client relationships.
Below is a list of some of the companies that we represent:

Allied Insurance American European Amtrust North America Andover Companies
Associated Mutual CNA DB Insurance Employers
Great American Insurance Group Interboro Insurance KBIC Kingstone
Lancer Liberty Mutual National General Nationwide
Progressive SafeCo Shelter Point SSL
Travlers UPC Insurance USLI Utica First

… and many more …

Travelers
Official Website

Forms:
3rd Party Crime Blanket – Supplemental Questionnaire
Accountants Professional Liability Coverage Application
Accountants Professional Liability Coverage – Small Accounting Firm App
Design Professional Liability Coverage Application
Ocean Marine Application for Open Cargo Insurance
Commercial Crime – Small Business Coverage Application
ERISA Compliance Bond Application – Non-Union Welfare & Pension Plans
Crime Stand-alone Coverage Application
D&O Private Coverage Application
D&O Liability Insurance Policy Application
Private Company Multi-Coverage Application
Non-Profit Organization Multi-Coverage Application
E&O Stand-alone Coverage Application
Crime Coverage Application
Coverage Application
EPLI – Small Business Coverage Application
Fiduciary Stand-alone Coverage Application
Lawyers Professional Liability Coverage Application
Lawyers Professional Liability Coverage – Small Law Firm Application
Leased or Renal Equipment Coverage Additional Information Request
Misc. Professional Liability Marketing Consultants Add’l Info Request
Miscellaneous Professional Liability Coverage Application
Non-Profit Organization – Small Business Multi-Coverage Application
Real Estate Property Managers Professional Liability Coverage App
Real Estate Services Professional Liability Coverage Application
Real Estate Professional Liability Coverage Add’l Info Request
Travel Insurance

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TOWER

Official Website

Forms:
Request for Additional Insured (DOC)
Request for Additional Insured (PDF)

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Magna Carta - PSM

Official Website

Forms:
Hotel/Motel Supplement Application
Real Estate & Hospitality/Community Association Umbrella
Managed Care Form
Restaurant Supplement Application

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Philadelphia
Official Website

Forms:
Adult Day Care Program Supplemental Application
Builder’s Risk Application: Ground-up Construction
Builder’s Risk Renovation & Rehabilitation Application
Camp Supplemental Application
Religious Organization Supplemental Application
Child Care Center Supplemental Application
Cover-Pro Application
Fitness & Wellness Studio Owners Supplemental Application
Fitness Studio General Liability & Property Application
Flexi Plus Five New York Application
Flexi Plus Five Application
Golf Ranges & Miniature Golf Supplemental Application
Golf & Country Club Supplemental Application
Golf – Liquor Liability Supplemental Application
Golf – Country Clubs Premises Environmental Coverage Application
Home Health Care Approved Franchise Supplemental Application
Home Health Care New Entity Supplemental Application
Home Health Care Supplemental Application
Home Health Care Organizations Brochure
Hotel Application
Human Services – Comprehensive Application
Martial Arts Studio General Liability and Property Application
Pest Control Services General Liability Application
Restoration Contractors Application
Special Event Supplemental Application
Media Liability Cover Pro Application
Youth Group Organization Supplemental Application

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LANCER

Official Website

Forms:
Apartment Building Supplement
Commercial Automobile Application
Supplemental Automobile Schedule
Commercial Cooking Supplement
Garagekeepers Legal Liability & Dealers Open Lot Application
Garage Liability Application
Rental Vehicle Insurance Coverage
Restaurant/Tavern Supplement Application
Restaurant/Tavern Application
Commercial Auto & Garage Specialty Underwriting Guidelines

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Harleysville

Official Website

Forms:
Church Supplemental Application
NY Contractors Supplemental Application
Supplementary Deluxe Garage Owners Application
Habitational Questionnaire
Hotel Supplemental Questionnaire
Human Services Application
Human Services Day Care Application
Manufacturers Supplemental Questionnaire
NY Sidewalk Brochure
Supplemental Application – For Contractors < $5M receipts

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CNA

Official Website

Forms:
Application for Architects and EPLI — Small Firm Program
Cargo Application
Cargo Questionnaire
Directors & Officers Liability
Dentist Employment Practices Liability Insurance Application
Dishonesty Bond Application
D&O Liability and Crime & Fidelity Insurance Application
Error and Omission Insurance Application
Employment Practices Liability Insurance Application
Fast Track Application
Easy Application for Bond – Form 10E
Investment Management Liability Solutions Application
Lawyers Professional Liability Insurance Application
Ocean Cargo Insurance Brochure and Application
Real Estate Professionals E&O Liability Application
Application for Bond – Form 10
Customs Bond Application
Tech E&O Application (NY)
Global Technology E&O Application

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Chubb

Official Website

Form:
Machinery Breakdown Insurance Application

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AMTRUST

Official Website

Form:
Preferred Small Rick Program Questionnaire

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Associated Mutual

Official Website

Forms:
Beauticians and Barbers Professional Liability Application
Condos and Co-ops NYC Underwriting Guidelines 2010
Supplemental Cooking Application
Non-Binding Liquor Liability Application

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American European - Rutgers

Official Website

Forms:
Contractor Additional Insured Form
Contractor’s Supplemental Application
New Venture Form

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ACE

Official Website

Forms:
Contractors Pollution Liability Application
Employment Practices Liability Insurance Application
Miscellaneous Professional Liability Application

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USLI
Official Website

Forms:
Additional Insured Request Form
Allied Healthcare Professional Package Product
Artisan/Trade Contractors Product
Bar/Restaurant Product Application – All States
Beauty Salons, Nail Salons & Barber Shops Product Application
Builder’s Risk Product – New Construction Application
Catering Plus Liquor Liability Warranty Application
Child Care Addendum to Storefront/Community Church
Storefront/Community Church Supplemental Application
Storefront/Community Church Application – All States
Concessionaire and Vendors Product Application – All States
Concessionaires and Vendors Product – Claim Examples
Contractors Supplemental Application
Specified Professions Professional Liability Product
Non-Profit D&O and EPL Application – All States
Corporate D&O and EPL Application
Child Care Product Application – All States
Real Estate Agent’s Merger, Acquisition or Formation of Subsidiary Addendum
Real Estate Agent’s Supplemental Businessowners Application
EPLI Application – All States
Contractors’ Choice Equipment Product Warranty Application
Fitness Center Product Application – All States
Games and Entertainment Product Application – All States
Contractors Supplemental Application
Hole-in-One/Prize Indemnification Insurance Application
Personal Lines Insurance Agents Professional Liability Application
Janitorial Services Product Application
Liquor Liability Warranty Application
Non Profit Fraternal Clubs Application
Owner’s/Tenant’s Protective Product Application
Parking Facilities Product Application – All States
Specified Professions Professional Liability Application – All States
Special Professions Professional Liability Product Application
Professional Liability D&O /EPL Products Brochure
Property Managers Professional Package Application
D&O, E&O, EPL Overview Notes
Real Estate E&O Application – All States
Specialty Training School Application – All States
Special Event Product Application
Non Profit Package Special Events/Liquor Liability Addendum
Specified Professions Professional Liability Supplemental Application
Specified Professions Professional Liability Application
Technology Professional Package Application – All States
Travel Agents Supplement
Commercial Umbrella / Excess Liability Warranty Application
Vacant Building Product Application

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UTICA

Official Website

Forms:
Mandatory Artisan Contractors Supplemental Application
Information of EPLI for BOP
EPLI Application
EPLI Supplemental Application – New York
Restaurant/Tavern Application

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