Applications

Application Name	Format	Download
Workers’ Compensation Supplemental Questionnaire
Commercial Package Supplemental Questionnaire
Pollution/Herbicide/Pesticide Supplemental Questionnaire
Statement of Values
Zurich: Club Pollution Application
ACE Tank Only Application (UST Only)
ACE Tank Only Application (AST Only)
Chubb: Club Pollution Application
D&O Non-Profit Golf Entities
D&O For-Profit Golf Entities
Crime – NFP – Greater than 500 EEs
Crime – NFP – Up to 500 EEs
Crime – FP – Greater than 250 EEs
Crime – FP – Up to 250 EEs
Homeowners Association Supplemental Questionnaire
PGA Event Supplemental Questionnaire
Ice Skating Supplemental Questionnaire
Beaches Supplemental Questionnaire
Skeet Shooting Supplemental Questionnaire
Spa Supplemental Questionnaire
Sports Bubble Supplemental Questionnaire
Umbrella Supplemental Application

Email, Fax or Mail your submission to the following address for a quality proposal. 

Preferred Club Program
Attn: Underwriting
1301 Wright’s Lane East
West Chester, PA  19380
Phone: 800-523-2788
Fax: 610-692-5977
Email: Marketing@PreferredClub.com