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Paragon Insurance Holdings, LLC insurance forms

36 Paragon Insurance Holdings, LLC ACORD forms and supplemental applications in Bindly's library. Open any form to see its fields, then fill it from one conversation with the insured.

Paragon Insurance Holdings, LLC
Ed. Version 1.001

Paragon Bus & Limo Supplemental (WC, v1.001 2019)

Workers’ Compensation supplement for bus, limousine, shuttle, and passenger-transportation operators, capturing workforce, safety, trip operations, vehicle maintenance, and subcontracting exposures.

139 fields 3 pages
Paragon Insurance Holdings, LLC
Ed. Version 1.001

Paragon Construction & Contracting Supplemental (WC, v1.001 2019)

Workers Compensation supplement for construction and contracting businesses capturing workforce, safety, jobsite, height/depth, subcontractor, and recent-project exposures.

175 fields 3 pages
Paragon Insurance Holdings, LLC

Paragon Golf & Country Club Supplemental (2026)

Golf and country club Property and Liability supplement capturing operations, revenues, amenities, member controls, safety practices, building protection, infrastructure, and roof characteristics.

502 fields 8 pages
Paragon Insurance Holdings, LLC

Paragon Golf Day Camp & Junior Programs Supplemental (9-24)

General Liability supplement for golf clubs offering day camps or junior golf/tennis programs, capturing supervision, child-protection controls, swimming, field trips, transportation, and subcontractor risk transfer.

96 fields 2 pages
Paragon Insurance Holdings, LLC
Ed. Version 1.001

Paragon Home Healthcare Supplemental (WC, v1.001 2019)

Workers’ Compensation supplement for home healthcare agencies, capturing caregiver staffing, patient-care and mobility tasks, hiring and safety practices, shifts, compensation, and claims controls.

166 fields 3 pages
Paragon Insurance Holdings, LLC

Paragon Hotel Supplemental Workers' Compensation Application (2025)

Workers’ Compensation supplement for hotels, capturing payroll, employee roles, loss history, transportation, maintenance, safety practices, and restaurant exposures.

193 fields 3 pages
Paragon Insurance Holdings, LLC
Ed. Version 1.001

Paragon Landscaping Supplemental (WC, v1.001 2019)

Workers’ Compensation supplement for landscaping contractors, capturing operations, employee duties, equipment use, subcontractor exposure, and workplace safety practices.

165 fields 3 pages
Paragon Insurance Holdings, LLC
Ed. Version 1.001

Paragon Metal Manufacturing Supplemental (WC, v1.001 2019)

Workers’ Compensation supplement for metal manufacturing operations, capturing workforce duties, machinery use, safety controls, and loss exposures.

278 fields 4 pages
Paragon Insurance Holdings, LLC

Paragon North American Timber Program Questionnaire

Logging and timber harvesting operations questionnaire capturing GL, auto, equipment, subcontractor, fire-control, driver safety, and maintenance exposures.

209 fields 5 pages
Paragon Insurance Holdings, LLC

Paragon Plastic Manufacturing Supplemental (WC, v1.001 2019)

Workers’ Compensation supplement for plastic manufacturers capturing operations, workforce and payroll classifications, hiring protocols, safety programs, claims handling, and employee benefits.

177 fields 3 pages
Paragon Insurance Holdings, LLC

Paragon Restaurant Questionnaire, Supplemental to ACORD 130 (2025)

Workers’ Compensation supplement for restaurants, capturing hiring, safety, employee benefits, delivery/catering operations, and kitchen injury-prevention practices.

51 fields 2 pages
Paragon Insurance Holdings, LLC
Ed. TPRS‐SUP193

Paragon Trident Concentration of Vehicles Supplemental Application (TPRS-SUP193-0524)

Commercial Auto insureds with $2 million or more in vehicles at one location: captures garaging locations, vehicle values, flood exposure, and site security/protection features.

79 fields 2 pages
Paragon Insurance Holdings, LLC
Ed. TPRS-SUP241

Paragon Trident Cyber Coverage & Data Compromise Supplemental Application (TPRS-SUP241-0524)

Cyber and data compromise supplement for organizations, including municipalities, capturing breach history, data security controls, privacy practices, vendor payment collection, and requested increased coverage limits.

41 fields 1 page
Paragon Insurance Holdings, LLC
Ed. TPRS-SUP197

Paragon Trident Dams Supplemental Application (TPRS-SUP197-0524)

Property/liability supplement for dam owners or operators, capturing structure design, hazard rating, purpose, capacity, inspections, emergency plans, and high-hazard inspection remediation.

61 fields 1 page
Paragon Insurance Holdings, LLC
Ed. TPRS‐SUP097

Paragon Trident Drone / UAS Supplemental Application (TPRS-SUP097-0524)

Drone/UAS General Liability and Physical Damage supplement for commercial operators, capturing aircraft specifications, intended use, pilot qualifications, flight hours, FAA authorization, and loss history.

67 fields 1 page
Paragon Insurance Holdings, LLC
Ed. TPRS-SUP198

Paragon Trident Fire Department / EMS Supplemental Application (TPRS-SUP198-0524)

Fire Department/EMS liability supplement for paid or volunteer emergency responders, capturing staffing, mutual aid, response protocols, traffic controls, dispatch, recordings, and training procedures.

28 fields 1 page
Paragon Insurance Holdings, LLC
Ed. TPRS-APP190

Paragon Trident Fraudulent Impersonation Supplemental Application

Cyber/Fraud coverage supplement for organizations seeking fraudulent impersonation protection, capturing transfer verification controls, payee onboarding procedures, requested limits, and prior social-engineering losses.

32 fields 1 page
Paragon Insurance Holdings, LLC
Ed. TPRS-SUP265

Paragon Trident Highway Garage / Public Works Building Supplemental Application (TPRS-SUP265-0524)

Commercial Property and Auto supplement for municipal highway garages/public works buildings, capturing dump truck, snowplow, road-plowing, vehicle inspection, maintenance, and fire-protection exposures.

35 fields 1 page
Paragon Insurance Holdings, LLC
Ed. TPRS‐SUP200‐0320

Paragon Trident Jail Supplemental Application (TPRS-SUP200)

Law Enforcement Liability supplement for jails and detention facilities capturing staffing, capacity, inmate safety, medical services, operational policies, and state inspection information.

47 fields 1 page
Paragon Insurance Holdings, LLC
Ed. TPRS-SUP203

Paragon Trident Law Enforcement Liability Supplemental Application (TPRS-SUP203-0524)

Law Enforcement Liability supplement for police departments, capturing personnel, policies, training, use-of-force controls, holding cells, fleet safety, pursuits, and accreditation.

169 fields 3 pages
Paragon Insurance Holdings, LLC
Ed. TPRS-MASUP195

Paragon Trident Massachusetts Workers Compensation Supplemental Application (TPRS-MASUP195-0425)

Workers Compensation supplement for Massachusetts employers capturing operational hazards, employee safety programs, injury reporting, return-to-work practices, and vehicle risk management.

38 fields 2 pages
Paragon Insurance Holdings, LLC
Ed. TPRS-SUP210NY

Paragon Trident New York Drone / UAS Supplemental Application (TPRS-SUP210NY-0524)

Aviation liability supplement for New York commercial drone/UAS operators, capturing aircraft specifications, intended uses, pilot qualifications, safety features, flight hours, FAA authorization, maintenance, and loss history.

44 fields 2 pages
Paragon Insurance Holdings, LLC
Ed. TPRS-PA-AUTO-SUPP-0524

Paragon Trident Pennsylvania Auto Application Supplement (0524)

Pennsylvania auto insureds: captures elections or rejections of optional first-party medical, work-loss, funeral, accidental-death, combination, and extraordinary medical benefits.

30 fields 2 pages
Paragon Insurance Holdings, LLC
Ed. TPRS-APP190-0826

Paragon Trident Public Entity General Application and Fraud Agreement (TPRS-APP190-0826)

Public entity package application capturing requested coverages, operations, liability exposures, employment practices, fleet, property, loss history, and underwriting controls.

660 fields 17 pages
Paragon Insurance Holdings, LLC
Ed. TPRS-SUP196-03

Paragon Trident Public Transit Supplemental Application (TPRS-SUP196-0524)

Public transit auto liability supplement for scheduled, on-demand, school, rail, and special-needs passenger operators, capturing ridership, contractor controls, driver screening, safety programs, and vehicle equipment.

65 fields 1 page
Paragon Insurance Holdings, LLC
Ed. TPRS-SUP194

Paragon Trident Recreational Activities Supplemental Application (TPRS-SUP194-0524)

General Liability supplement for parks and recreation entities, capturing activity exposures, facility safety, concussion protocols, participant waivers, and youth abuse-prevention controls.

145 fields 2 pages
Paragon Insurance Holdings, LLC
Ed. TPRS-APP190-0825

Paragon Trident Renewal Information Request (2025)

Public entity package renewal for municipalities, schools, and water/sewer districts, capturing operations, staffing, exposures, schedules, budgets, loss runs, and crime-handling employees.

43 fields 1 page
Paragon Insurance Holdings, LLC
Ed. TPRS-APP191

Paragon Trident School Application (TPRS-APP191-0725)

Public school multi-line application capturing liability, property, auto, workers compensation, safety controls, student programs, abuse prevention, employment practices, and educators liability exposures.

669 fields 18 pages
Paragon Insurance Holdings, LLC
Ed. TPRS-SUP201

Paragon Trident School Supplemental Application for Schools Embedded in a Municipality (TPRS-SUP201-0524)

General Liability, Employment Practices, Educators Legal, and Law Enforcement Liability supplement for municipal embedded schools, capturing operations, safety, abuse prevention, staffing, policies, security, and claims history.

191 fields 5 pages
Paragon Insurance Holdings, LLC
Ed. TPRS-SUP199

Paragon Trident Transfer Station, Recycling Center, Landfill Supplemental Application (TPRS-SUP199-0524)

Property risks for transfer stations, recycling centers, and closed landfills, capturing operations, fire protection, material screening, site security, and closure compliance.

51 fields 1 page
Paragon Insurance Holdings, LLC
Ed. TPRS-SUP192

Paragon Trident Utilities Supplemental Application (TPRS-SUP192-0524)

Utilities liability supplement for water, sewer, electric, and gas providers, capturing operations, users, regulatory compliance, infrastructure maintenance, subcontracting, and failure-to-supply or sewer-backup exposures.

103 fields 2 pages
Paragon Insurance Holdings, LLC
Ed. TPRS-SUP265 (04/23)

Paragon Trident Violent Event Supplemental Application (0524)

Violent Event coverage supplement for organizations, capturing gun-free policies, active shooter training, incident reporting, law enforcement coordination, and visitor security protocols.

19 fields 1 page
Paragon Insurance Holdings, LLC
Ed. TPRS-SUP195

Paragon Trident Workers Compensation Supplemental Application (TPRS-SUP195-0425)

Workers Compensation supplement for municipalities and public entities with police, fire, and public works operations, capturing safety programs, medical testing, hearing conservation, staffing, and loss-control practices.

49 fields 1 page
Paragon Insurance Holdings, LLC
Ed. Version 1.001

Paragon Trucking Supplemental (WC, v1.001 2020)

Workers Compensation supplement for trucking operators capturing driver workforce, safety programs, freight handling, maintenance duties, routes, equipment, commodities, and hazardous-material hauling exposures.

288 fields 6 pages
Paragon Insurance Holdings, LLC
Ed. Version 1.001

Paragon Waste Hauler Supplemental (WC, v1.001 2019)

Workers’ Compensation supplement for waste hauling operations, capturing workforce composition, hiring protocols, safety programs, claims handling, management practices, and employee benefits.

179 fields 3 pages
Paragon Insurance Holdings, LLC
Ed. Version 1.001

Paragon Wood Manufacturing Supplemental (WC, v1.001 2019)

Workers’ Compensation supplement for wood manufacturers, capturing operations, workforce, machinery, material handling, safety programs, off-site work, and occupational disease exposures.

186 fields 3 pages

Paragon Insurance Holdings, LLC forms: frequently asked questions

What forms does Paragon Insurance Holdings, LLC require?
Bindly's library has 36 Paragon Insurance Holdings, LLC forms: ACORD applications and Paragon Insurance Holdings, LLC supplemental applications across the lines of business Paragon Insurance Holdings, LLC writes. Open any form to see its fields.
Can I download Paragon Insurance Holdings, LLC forms for free?
Yes. You can preview and download any blank Paragon Insurance Holdings, LLC form as a PDF for free from this page. No login is required to preview or download.
How do I fill out Paragon Insurance Holdings, LLC applications faster?
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