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Prime Insurance Company (XINSURANCE) insurance forms

68 Prime Insurance Company (XINSURANCE) 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.

Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-240 19OCT2018

Prime / XINSURANCE Active Shooter Workplace Violence Application

Active Shooter/Workplace Violence coverage for businesses and public-facing entities, capturing locations, occupancy, security controls, emergency response plans, preparedness budgets, and prior violent incidents.

127 fields 4 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-251 08JAN2013

Prime / XINSURANCE Aircraft Owners Application

Aircraft hull and liability application for aircraft owners, lessees, and users, capturing aircraft specifications, operations, routes, maintenance, pilot qualifications, insurance history, and desired coverage.

273 fields 7 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-252 13AUG2012

Prime / XINSURANCE Aircraft Pilots Application

Aviation liability supplement for individual aircraft pilots, capturing aircraft operated, flight hours, ratings, medical status, accident history, airspace use, and regulatory violations.

132 fields 3 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-257 22SEP2020

Prime / XINSURANCE Apartment Application

Property and General Liability application for apartment complex owners, capturing building COPE, occupancy, safety/security features, amenities, pool exposures, insurance history, and loss controls.

270 fields 5 pages
Prime Insurance Company (XINSURANCE)

Prime / XINSURANCE Apartment Application Schedule

Apartment property risks schedule capturing each building’s location, occupancy, construction, units, roof, protection class, and insured property, equipment, and loss-of-rents values.

180 fields 1 page
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-260 20NOV2012

Prime / XINSURANCE Architects Engineers CM Professional Application

Professional Liability application for architects, engineers, surveyors, and construction managers, capturing professional services, project values, fees, staffing, contracts, claims, and risk exposures.

223 fields 6 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-262 27NOV2012

Prime / XINSURANCE Attorney Professional Liability Application

Attorney Professional Liability application for law firms, capturing firm operations, attorney discipline history, claims, billing practices, ownership, and revenue by legal practice area.

153 fields 4 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-268 01AUG2012

Prime / XINSURANCE Bars Restaurants Application

General and Liquor Liability application for bars, restaurants, taverns, and entertainment venues, capturing operations, alcohol and food sales, security, entertainment, premises, safety controls, and claims history.

291 fields 6 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-273 01AUG2012

Prime / XINSURANCE Boats Personal Watercraft Application

Watercraft Liability application for boat and personal watercraft owners, capturing vessel specifications, usage, operators, safety equipment, mooring, prior insurance, claims, and requested limits.

183 fields 5 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-275 01AUG2012

Prime / XINSURANCE Builders Risk Application

Builders Risk application for contractors and building owners, capturing single or multiple construction project values, construction details, occupancy, security, requested property coverages, and loss history.

190 fields 5 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-289 14AUG2024

Prime / XINSURANCE Commercial Auto Application

Commercial Auto application for businesses operating delivery, service, contractor, waste, or trucking vehicles; captures fleet, drivers, operations, safety controls, insurance history, and coverage requirements.

386 fields 8 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-290 16AUG2024

Prime / XINSURANCE Commercial Auto Trucking Application

Commercial Auto and Motor Truck Cargo application for long- and short-haul trucking fleets, capturing operations, commodities, equipment, drivers, loss history, safety controls, and requested coverages.

445 fields 9 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-291 01AUG2012

Prime / XINSURANCE Commercial Earthquake Application

Commercial Earthquake coverage for businesses with owned or leased property, capturing locations, construction, values, business income, desired limits, deductibles, and earthquake loss history.

139 fields 4 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-292 10MAY2019

Prime / XINSURANCE Commercial Liability Application

Commercial General Liability application for businesses of varied operations, capturing locations, revenues, insurance history, claims, coverage limits, subcontracting, contractual obligations, and risk management.

167 fields 4 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-293 01AUG2012

Prime / XINSURANCE Commercial Property Application

Commercial Property application for businesses and property owners, capturing insured values, building construction, occupancy, protection features, hazards, improvements, and loss history.

169 fields 5 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-298 07JAN2013

Prime / XINSURANCE Contractors Application

General Liability application for contractors and construction businesses, capturing operations, project types, subcontracting, payroll, receipts, hazardous work, insurance history, and claims exposures.

479 fields 10 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-303 30OCT2013

Prime / XINSURANCE Dealership Application

Garage Liability and Dealers Open Lot application for new, used, wholesale, franchised, and non-franchised auto dealers, capturing operations, inventory, drivers, security, losses, and requested coverages.

292 fields 7 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-306 07MAY2019

Prime / XINSURANCE Directors Officers Application

Directors & Officers Liability application for organizations and their boards, capturing operations, governance, financials, insurance history, claims, regulatory issues, subsidiaries, and management liability exposures.

119 fields 4 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-310 10AUG2016

Prime / XINSURANCE Drone Application

Aviation Liability and Hull application for drone owners, lessees, and operators, capturing UAV specifications, intended operations, pilot qualifications, FAA compliance, claims history, and requested coverage limits.

176 fields 5 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-314 13AUG2012

Prime / XINSURANCE Environmental Contractor Services Supplement

Environmental Contractors Liability supplement for remediation, drilling, tank, monitoring, sampling, excavation, and contaminated-material hauling operations, capturing specific services performed.

119 fields 2 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-213 02AUG2012

Prime / XINSURANCE EPLI Application

Employment Practices Liability application for organizations, capturing workforce composition, employment policies, terminations, organizational changes, prior employment claims, and HR practices.

154 fields 5 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-491 01SEP2021

Prime / XINSURANCE Event Cancellation Application

Event Cancellation coverage for organizers of single or recurring events, capturing event finances, venues, schedules, cancellation perils, mitigation plans, key personnel, and emergency arrangements.

174 fields 5 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-319 03AUG2012

Prime / XINSURANCE Excess Flood Application

Excess Flood coverage for commercial property risks, capturing insured values, prior flood losses, requested limits, building construction, occupancy, condition, protection, and site hazards.

148 fields 5 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-320 28NOV2012

Prime / XINSURANCE Excess Liability Application

Excess Liability application for businesses seeking coverage above underlying limits, capturing operations, payroll, subcontractor controls, loss history, OSHA citations, and underlying policy details.

136 fields 4 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-331 28NOV2012

Prime / XINSURANCE Flood Application

Personal and commercial property Flood coverage application capturing insurance history, requested limits, property values, occupancy, construction, flood exposure, water hazards, elevation, and basement or enclosure details.

258 fields 5 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-335 11FEB2014

Prime / XINSURANCE Garage Services Application

Garage Liability and Garagekeepers supplement for automotive service, sales, storage, parking, salvage, tire, and fuel operations, capturing receipts, services, customer vehicle exposures, and security controls.

355 fields 7 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-336 21OCT2021

Prime / XINSURANCE General Application

General liability and specialty risk applicants: captures business operations, requested coverage, prior insurance, revenues, contractual requirements, claims history, and known loss exposures.

76 fields 3 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-338 28NOV2012

Prime / XINSURANCE General Contractors Application

General Liability application for general contractors and developers, capturing operations, construction types, subcontracting, project values, hazardous work, safety practices, insurance history, and claims.

448 fields 9 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-340 10MAY2019

Prime / XINSURANCE General Recreation Application

General Liability application for recreational businesses and activity operators, capturing locations, activities, participant volume, receipts, equipment, safety procedures, staffing, and claims history.

262 fields 6 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-334 10DEC2020

Prime / XINSURANCE Guards Security Application

Security guard and patrol operations application capturing services, armed/unarmed payroll and billings, guard training and screening, weapons, subcontracting, contracts, claims, and requested liability coverages.

293 fields 9 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-349 03DEC2012

Prime / XINSURANCE Hangar Application

Aviation hangar operators, aircraft service businesses, and dealers: captures premises, operations, aircraft custody, sales, repair, storage, pilot, employee, and loss-history exposures for liability and aircraft coverage.

235 fields 6 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-351 03DEC2012

Prime / XINSURANCE Health Club Application

General Liability application for health clubs and fitness centers, capturing operations, membership, staff, equipment, exercise activities, pools, childcare, safety procedures, and claims history.

370 fields 8 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-352 03DEC2012

Prime / XINSURANCE Healthcare Services Application

Healthcare professional and general liability application for nursing homes, assisted living, and residential care facilities, capturing resident acuity, staffing, clinical practices, safety controls, premises, and claims history.

295 fields 8 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-354 03DEC2012

Prime / XINSURANCE Home Health Care Application

Professional and General Liability application for home health care providers, capturing services, clinical staff, revenues, hiring controls, operations, claims history, and requested coverage limits.

258 fields 5 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-F-102 10APR2025

Prime / XINSURANCE Homeowners Risk Summary - Montana (EIBI-F-102, 2026 edition)

Homeowners insurance risk summary for Montana residential properties, capturing coverage needs, prior claims, renewal or cancellation status, market terms, and underwriting narrative.

24 fields 2 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-F-100 10APR2025

Prime / XINSURANCE Homeowners Risk Summary (EIBI-F-100, 2026 edition)

Homeowners insurance risk summary for insureds seeking new, replacement, or difficult-to-place coverage, capturing property narrative, prior coverage, claims, cancellation/nonrenewal status, and target terms.

24 fields 2 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-359 03DEC2012

Prime / XINSURANCE Hotel Motel Application

General Liability application for hotels and motels, capturing operations, premises construction, guest occupancy, fire/life safety, pools, security, amenities, payroll, receipts, and claims history.

245 fields 6 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-363 03DEC2012

Prime / XINSURANCE Individual Medical Malpractice Application

Medical Malpractice application for individual healthcare practitioners and medical service facilities, capturing specialties, staffing, procedures, patient mix, risk controls, licensing, claims, and requested limits.

399 fields 8 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-365 04DEC2012

Prime / XINSURANCE Inland Marine Application

Inland Marine application for businesses owning or leasing mobile equipment, capturing equipment schedules, values, transit, storage, leasing, maintenance, and site-specific hazard exposures.

215 fields 6 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-369 04DEC2012

Prime / XINSURANCE Janitorial Application

Professional Liability application for janitorial contractors, capturing operations, payroll, receipts, building types, restoration work, hazardous services, subcontractor use, and claims history.

146 fields 5 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-373 04DEC2012

Prime / XINSURANCE Landscaping Application

General Liability application for landscaping, tree service, vegetation management, pest control, and wildlife-control contractors, capturing operations, payroll, chemical use, equipment, contracts, safety practices, and loss history.

328 fields 8 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-376 04NOV2015

Prime / XINSURANCE Liquor Liability Application

Liquor Liability application for bars, restaurants, clubs, retailers, caterers, and other alcohol sellers, capturing licensing, alcohol sales, operations, patron controls, training, safety practices, and claims history.

233 fields 6 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-393 10MAY2019

Prime / XINSURANCE Motor Truck Cargo Application

Motor Truck Cargo coverage for for-hire carriers, capturing cargo types and values, routes, fleet and drivers, refrigeration controls, revenues, and loss history.

224 fields 5 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-402 07AUG2012

Prime / XINSURANCE Non Owned Aircraft Application

Aviation liability application for individuals or businesses operating non-owned aircraft, capturing aircraft use, pilot qualifications, requested limits, prior losses, and owner/operator insurance requirements.

237 fields 4 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-402 04DEC2012

Prime / XINSURANCE Nurse Professional Liability Application

Professional Liability for nurses, nurse practitioners, and allied nursing providers, capturing credentials, practice settings, services, staffing, claims, licensure, and disciplinary history.

275 fields 7 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-404 04DEC2012

Prime / XINSURANCE Ocean Marine Application

Ocean Marine for importers, exporters, and trading businesses, capturing cargo, transit modes, shipment values, routes, packaging, carrier terms, and optional warehouse exposures.

263 fields 6 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-415 07AUG2012

Prime / XINSURANCE Personal Earthquake Application

Personal Earthquake coverage application for homeowners, mobile/manufactured-home owners, condominium owners, and renters, capturing locations, desired limits, prior insurance, construction, foundation, upgrades, and prior damage.

109 fields 3 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-203 07AUG2012

Prime / XINSURANCE Personal Excess Liability Application

Personal Excess Liability application for high-profile or higher-risk households, capturing underlying coverage, loss history, premises, drivers, vehicles, watercraft, and personal liability exposures.

247 fields 4 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-416 26FEB2016

Prime / XINSURANCE Personal Liability Application

Personal Liability for individuals seeking work, home, and recreational exposure coverage, capturing personal activities, prior claims, criminal history, household risks, and liability coverage needs.

349 fields 6 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-419 09OCT2020

Prime / XINSURANCE Physicians Surgeons Application

Medical Professional Liability application for physicians and surgeons, capturing credentials, specialty, procedures, practice operations, staff, facilities, insurance history, and claims exposures.

611 fields 13 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-421 13AUG2012

Prime / XINSURANCE Pollution Facility Information

Pollution Liability supplement for facilities and sites, capturing location activities, historical and future use, materials, waste disposal, air emissions, and adjacent exposures.

83 fields 1 page
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-422 04DEC2012

Prime / XINSURANCE Pollution Liability Application

Pollution Legal Liability application for businesses and facilities, capturing operations, tanks, waste disposal, regulatory compliance, site proximity, spill history, and desired limits.

146 fields 4 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-428 04DEC2012

Prime / XINSURANCE Products Liability Application

Products Liability application for manufacturers, wholesalers, retailers, importers, and product representatives, capturing product categories, sales, distribution, quality controls, recalls, and claims history.

224 fields 5 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-429 27NOV2012

Prime / XINSURANCE Professional Liability Application

Professional Liability application for service businesses and individual practitioners, capturing operations, qualifications, staffing, revenue, prior insurance, claims history, and requested limits.

129 fields 4 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-433 10MAY2019

Prime / XINSURANCE Public Livery Application

Commercial Auto/Public Livery application for taxi, limousine, bus, paratransit, and rideshare operators, capturing operations, routes, safety controls, drivers, vehicles, insurance history, and requested coverages.

336 fields 7 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-436 27NOV2012

Prime / XINSURANCE Real Estate E&O Application

Real Estate Errors & Omissions application for real estate brokerages and agents, capturing operations, staffing, transaction volume, sales practices, licensing, claims, and professional liability coverage needs.

155 fields 5 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-440 10MAY2019

Prime / XINSURANCE Rental Liability Application

Commercial rental liability application for motorized and recreational equipment rental businesses, capturing operations, fleet schedule, participant exposure, safety controls, maintenance, and claims history.

421 fields 7 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-446 11DEC2012

Prime / XINSURANCE Roofers Application

General Liability application for roofing and siding contractors, capturing operations, payroll, receipts, building heights, repair/replacement work, subcontractor controls, equipment, and claims history.

152 fields 5 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-407 29AUG2012

Prime / XINSURANCE Schedule Of Other Insurance

Commercial insureds seeking specialty liability coverage: captures existing insurance carriers, policy dates, policy numbers, limits, and coverage types.

72 fields 2 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-448 11DEC2012

Prime / XINSURANCE Senior Care Application

Professional Liability application for senior care facilities, including skilled nursing, assisted living, and independent living, capturing staffing, resident acuity, services, licensing, safety controls, and claims history.

334 fields 8 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-460 11DEC2012

Prime / XINSURANCE Special Events Application

Special Events General Liability application for event organizers, capturing event operations, attendance, venue, participants, vendors, concessions, safety controls, subcontractors, and emergency plans.

246 fields 7 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-464 13AUG2012

Prime / XINSURANCE Storage Tank And Piping Supplement

Pollution Liability supplement for businesses with underground storage tanks, capturing site conditions, contamination history, tank and piping construction, leak detection, corrosion protection, testing, and regulatory compliance.

304 fields 5 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-466 13AUG2012

Prime / XINSURANCE Subcontractor Warranty Disclosure

General Liability for insureds using subcontractors, capturing subcontractor identities, licensing, anticipated services, and required evidence of subcontractor insurance.

72 fields 2 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-494 08JUN2023

Prime / XINSURANCE TRU Umbrella Application

Personal umbrella liability application for individuals seeking excess coverage for work, home, and recreational exposures, capturing underlying insurance, losses, occupations, properties, activities, vehicles, and specialty hazards.

282 fields 7 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-474 14DEC2012

Prime / XINSURANCE Underground Storage Tank Application

Pollution Liability application for underground storage tank owners/operators, capturing site operations, tank and piping specifications, leak controls, regulatory compliance, contamination history, and inventory monitoring.

503 fields 7 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-F101 10APR2025

Prime / XINSURANCE Underwriting Risk Summary - Montana (EIBI-F-101, 2026 edition)

Commercial and personal lines risks, especially hard-to-place accounts: captures operations, coverage needs, loss history, current terms, market status, and contractual requirements for underwriting.

25 fields 2 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-F-099 10APR2025 (claim years 2020-2025; UW attachment)

Prime / XINSURANCE Underwriting Risk Summary (EIBI-F-099 10APR2025, 2-page copy attached by Prime UW)

Commercial and personal lines difficult-to-place risk summary capturing operations, coverage needs, prior terms, claims history, nonrenewal status, and contractual requirements.

26 fields 2 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-F-099 10APR2025 (claim years 2021-2026)

Prime / XINSURANCE Underwriting Risk Summary (EIBI-F-099, 2026 edition)

Commercial and personal lines risks, particularly difficult-to-place accounts: captures operations, coverage needs, prior terms, loss history, renewal status, and market-placement details.

25 fields 2 pages

Prime Insurance Company (XINSURANCE) forms: frequently asked questions

What forms does Prime Insurance Company (XINSURANCE) require?
Bindly's library has 68 Prime Insurance Company (XINSURANCE) forms: ACORD applications and Prime Insurance Company (XINSURANCE) supplemental applications across the lines of business Prime Insurance Company (XINSURANCE) writes. Open any form to see its fields.
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