Strategic Insurance Services, LLC - Coverage Option Form

Please check ALL that you choose to Decline:

Enhancement EndorsementContingent Earth MovementBlanket Additional Insured w/ Ongoing OperativeBlanket Additional Insured w/ Completed OperationsBlanket Waiver of Subrogation for General LiabilityPrimary Non Contributory WordingPer Project AggregateEmployee Benefit LiabilityCare, Custody and Control Endorsement
Remodel Contractors Only

10-2 Year Structural WarrantyUmbrella/Excess LiabilityPollution LiabilityProperty CoverageProfessional LiabilitySISCerts+
General Liability Limits

1/2/22/2/23/3/3
Workers Compensation

Owner RejectedOwner IncludedWaiver of Subrogation
Commercial Auto

Additional InsuredWaiver of Subrogation
Name*
Please enter your first and last name:
Email*
Please enter your email address : example@example.com
Please enter your company address:
Address*
City*
State/Province*
ZIP/Postal Code*
Country*
Phone*
Please enter your phone number:
Should be Empty: