ALL BIND REQUESTS MUST BE ACCOMPANIED BY THE FOLLOWING COMPLETED AND SIGNED FORMS:

Applications - Acord 125/126 and 140 (if requesting property coverage) and applicable supplemental applications.

3-5 year company loss runs or signed Statement of No Loss

Disclosure Notice of Terrorism Form (TRIA) Selection or Rejection checked

Agency Sweep Authorization for down* (25% minimum plus all applicable fees) or full payment (include a copy of the check made payable to Abram Interstate Ins with this form).  You may also call our office to do a check by phone.

*Finance Agreement if not paying in full. You may also call our office for finance options through Sequoia Premium Finance.

Completed SL-2 (Click to complete or go to  http://www.slacal.org/broker_info/sl2.php )

D1 Form

Please send all required documents to binds@abraminterstate.com

The Insurance Company must approve all bind requests.