Diplomax Insurance Applications

Diplomax

is a service mark of

Trident Insurance Services

of New England, Inc.

Program Administrator

PO Box 1170

Greenfield, MA 01302

T. 800.444.3916

F. 413.774.3916

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Diplomax Application Forms

School Insurance Program Application(05-2009)

Supplemental Applications

	Beaches Lakes Reservoirs (05-2009)
	Camps (05-2009)
	Climbing Wall (05-2009)
	Crime Supplement(05-2009)
	Day Care (05-2009)
	Ice or Roller Rink 05-2009)
	Ropes Challenge Course (05-2009)
	School Sexual Molestation(05-2009)
	Skateboard Park (05-2009)
	Special Events (05-2009)
	Swimming Pool (05-2009)
	Watercraft (05-2009)
	Wharves, piers, docks (05-2009)

Professional Coverages

education entity (05-2009)

Property Insurance

	BuildersRisk(05-2009).doc
	Vacant, or Unoccupied Building Insurance Application03-06)
	Statement of Values (Excel Format)
	Terrorism Coverage Acceptance / Rejection Form

Marine Insurance

	Ocean Marine - Hull P & I
	Ocean Marine - Marina Operators Liability Insurance

Umbrella Policy

	WH Greene Umbrella Application(2009)

Surplus Lines Affidavits

	Connecticut
	Massachusetts
	Rhode Island