Certificate of Insurance Issuing Instructions
Additional information is provided related to the most common situations regarding the issuing of Certificates of Insurance for your Movers’ Choice Program insureds.
- Protective Insurance Companies
- AmTrust Group of Insurance Carriers
- AIG Issued Policies
- Unigroup : Special Certificate of Insurance Issuing Instructions for Unigroup:
- Beginning in January 2012, Unigroup (Mayflower/United Van Line Agents) will require a 30-day notice of cancellation endorsement to accompany certificates of insurance. Please review the special wording needed for these certificates.
- UIIA ACORD 22 Form
All agents submitting paper certificates of insurance to the UIIA will be required to utilize this Certificate of Insurance form:
Moving & Storage Renewal Supplemental Application
In preparation for your upcoming insurance renewal, we have created an interactive worksheet that accounts for military shipments at the old and new valuation levels as well as non-military storage. When used in its Excel format, the form will automatically calculate total valuation based on tonnage and the number of containers.
Moving & Storage Long Haul Application
This application needs to be included when the moving operation does moves over 250 miles under their own authority or if the mover is affiliated with Mayflower, United, or Atlas Van Lines.
The Mover’s Choice Program has developed a program to provide international or domestic cargo coverage to the freight forwarding industry. This coverage is underwritten by A.M. Best “A XV.”
Moving & Storage Workers’ Comp Supplemental Application
This application must be included on all new business submissions to the Moving & Storage Workers’ Compensation Program.
IC Work Injury Program Sponsoring Motor Carrier Application
This Independent Contractor Work Injury Program Sponsoring Motor Carrier Application must be included on all new business submissions for this program.
Moving & Storage Bond Program
This application is needed on all new business submission to provide a surety bond quotation.
Movers Choice Program – High Limits Crime Coverage
This application is needed on all insureds who request a Crime Limit at or over $150,000.
Supplemental Application PODS & MI-BOX
Aegis Insurance Agency Moving & Storage Package Supplemental Questionnaire
High Value Inventory Form
This form is for all items considered to be “high risk” or “high value” by either the shipper or the carrier. The purpose of this inventory is to assist you in identifying articles of extraordinary or unusual value in order that the carrier will be aware of those items which require special handling and protection. Failure to identify such articles will result in limited carrier liability and may result in denial of any claim.
Location Addition Request Form
This form is used to request the addition of a new location to your current insurance policy.
Advice of Coverage Form
This form is used in conjunction with the mover’s bill of lading or warehouse receipt to provide their customer a clearer written description of the additional valuation coverage being provided for their shipment.
Private Passenger Type Vehicle Additional Information
This form is used in conjunction with an Acord vehicle request to add a PPT to a corporate movers auto insurance policy.
Acord Crime Application 2000
This specific form is required to underwriter crime coverage limits equal or that exceed $250,000.
Driver Eligibility Requirements
Information is provided on the minimum driver requirement for this program.
- DOWNLOAD AmTrust Driver Eligibility Requirements
- DOWNLOAD Protective Insurance Co. Driver Eligibility Requirements
- DOWNLOAD Generation Z Driver Program
Debit Authorization Form
This form is used to request to have funds accessed electronically to pay for premium due.
This form is used for request to have funds directly deposited to pay broker’s commission.
Agreement to add sub-hauler form
This form is used to request the addition of a new sub-hauler to your current insurance policy
All Risk Cargo/Warehouse Certificate Coverage Program
All Risk Coverage Definition
Explains the difference between valuation coverage and “all risk” certificate coverage.
All Risk Certificate Program Process
Current Customers use this link to have potential “all risk” certificates processed and approved.
All Risk Cargo & Storage Certificate Supplemental Application
This application is required on moving and storage operations who individual issue “all risk” certificates to customers to increase coverage for their move.