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Home
- - - Associations Welcomed
    - About
  - - Welcome
National News
Insurance Loggers
Member Listings
Insurance Other
Get Listed
Jobs & Projects
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- - - WhoWritesWhat and WhatsHappeningToday
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Loggers Broad Form Insurance Quote

Primary Form Insurance Quote Request from AssociatedLoggers.com

1Selections

2Activities

3Name

1010

1111

1212

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What is your requested effective Date? ("need by date")
Time expectations are from 7 to 10 business days on smaller accounts. For larger more complex accounts it may take up to 30 to 45 days to receive a quote. We are licensed in all States except Hawaii. Loss Runs will be required for up to 5 years. If you do not have 5 years of prior insurance, provide however many years you have up to 5 years. If you are new and have not had insurance before, it is ok. We may still be able to provide you with an insurance quote.
MM slash DD slash YYYY
CHECK BOXE(S) SELECT QUOTE TYPE(S)
Check those boxes for which you want a quote
- General Liability
- Loggers Broad Form
- Commercial Auto
- Additional Insureds
- Tree Contractor GL
- Inland Marine / Equipment
- Pollution
- Workers Compensation
- Trucking / Log Hauling
- Property / Buildings
- Directors & Officers E & O
- Forest Consultant Professional Liability

Save and Continue Later "Warning" you have 25 days remaining to complete your questionnaire before all data is removed

SELECT ACTIVITIES PERFORMED DIRECTLY OR SUB-CONTRACT OUT TO OTHERS
Please check all operations/activity performed directly
- Tree Falling
- Tree Trimming
- Mastication
- Log hauling
- Slash Burning
- Residential Tree Work
- 100% Forest work
- Work near Power lines
- Work for Utility companies
- Portable Sawmill Work
- Sawmill (not portable)
- Manufacturing
- Log Road Building
- Skidding
- Blasting/Use of Esplosives
- Wood Working
- Use of Aircraft/Helicopter/Watercraft
- Build Bridges, Tunnels or Dams
- Other
PAYROLL - SELECT "ACTIVITIES" YOU PERMORM OR SUB-CONTRACT
We realize no one knows exactly but please provided some estimates. For the owner of the company use a figure of $33,600 regardless of how much you make. For example, one owner and one employee. Employee payroll 35,000. You would use total payroll of $68,600. Some rating bases will vary and your agent will explain to you which rating bases we use for your quote.
Tree Falling %
Tree Trimming %
Mastication %
Log Hauling %
Slash Burning %
Residential Tree Work %
100% on Forest Lands
Work Near Power Lines %
Work For Utility Companies %
Portable Sawmill Work %
Sawmill (not portable) %
Manufacturing %
Log Road Building %
Skidding %
Blasing / Use of Explosives %
Wood Working %
Aircraft/Helicopter/ Watercraft Use %
Construct Bridges, Tunnels or Dams %
Other %
You marked "other" for activities. Please describe the other kinds of work you perform
Are you all done with this section? If you need help call us we will go though this process with you. Call (209) 223-1870
- Yes, I am good with my responses
- I am not sure please call me when I am done
- No, I am lost
Please call (209) 223-1870 and leave us your phone number and a good day & hours to call

Save and Continue Later "Warning" you have 25 days remaining to complete your questionnaire before all data is removed

Contact, Business and Entity Information
Name Person Completing this form
Person, not the business name
Legal Business Name
If no dba then individual name
Timber License /Vendor license (if none type "none"
Please provide your State/County license or vendor number
Federal Employer ID#
Are you a member of any other trade Associations or Organizations?
- Associated Logger of California
- The Louisiana Forestry Association
- Other
Please provide the name
Primary Office Phone
Mobile / Cell Phone
Email
Enter Email Confirm Email
Website
Business Formation Type
Select Business type using dropdown menu
1. Name of Owners/Officers/Partners
First Last
1. Title
1. % Ownership
2. Name of Owners/Officers/Partners
First Last
2. Title
2. % Ownership
Tick the check box to add more
- Add More Owners/Officers/Partners
Please add all additional Owners/Officers/Partners names, title and percent of ownership
Mail Address
Street Address Address Line 2 City State ZIP Code
Are you currently insured or have you had insurance recently?
- Yes
- No
Narrative of your operations.
Please explain "other"

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Financial and Experience Information
What is your standing with your past insurance carrier(s)
Total Years experience
Have you or a subsidiary had a bankruptcy in the last five years?
- Yes
- No

Save and Continue Later "Warning" you have 25 days remaining to complete your questionnaire before all data is removed

Based on the States in which you operate please select which States have buildings such as offices, storage yards, or warehousing
- Alabama
- Idaho
- Michigan
- New York
- Tennessee
- Alaska
- Illinois
- Minnesota
- North Carolina
- Texas
- Arizona
- Indiana
- Mississippi
- North Dakota
- Utah
- Arkansas
- Iowa
- Missouri
- Ohio
- Vermont
- California
- Kansas
- Montana
- Oklahoma
- Virginia
- Colorado
- Kentucky
- Nebraska
- Oregon
- Washington
- Connecticut
- Louisiana
- Nevada
- Pennsylvania
- West Virginia
- Delaware
- Maine
- New Hampshire
- Rhode Island
- Wisconsin
- Florida
- Maryland
- New Jersey
- South Carolina
- Wyoming
- Georgia
- Massachusetts
- New Mexico
- South Dakota
- Other
- Hawaii

Save and Continue Later "Warning" you have 25 days remaining to complete your questionnaire before all data is removed

Buildings and other Structures
In the State of Alabama "check" all "types" of structures needing property insurance. Later in this application we will as about what types of coverage is needed, use and ownership/rental/lease questions.
- Office(s)
- Storage Yard(s)
- Warehouse(s)
Building 1
Estimated Year of Construction
Building 1. Occupied or Vacant
- Occupied
- Vacant
Vacant since what date?
Name or reference for building 1
Bldg 1 squarefootage
Building 1 Occupancy Type
"If owned" - Built of Construction Material Type
What is the physical address of Building 1 in Alabama?
Street Address Address Line 2 City State ZIP Code
"If over 14 years old" Building Updates & Construction
Approximate Age of Roof and type of material
Please state year of updates to electrical 'if any"
Please state year of plumbing "if any"
Please state year of heating updates "if any"

Save and Continue Later "Warning" you have 25 days remaining to complete your questionnaire before all data is removed

Please select the liability limits required by your operations
Limits of base policy for Loggers broad form (and general liability if quote for gl requested)
- $1,000,000 per occurrence / $1,000,000 aggregate
- $1,000,000 per occurrence / $2,000,000 aggregate
- $2,000,000 per occurrence / $2,000,000 aggregate
- $5,000,000 per occurrence / $10,000,000
- Excess Umbrella with higher limits
Please input the desired Excess Liability Limits

Save and Continue Later "Warning" you have 25 days remaining to complete your questionnaire before all data is removed

Logger Broad Form
Payroll Estimates for the Next 12 months
Of our total payroll including owner provide "estimates" in $dollars$. (NOTE: For the owner use a standard of $33,600. for example 50% logging adn 50% road building divide the owner payroll of $33,600 between the two categories) For employees payroll use actual payroll estimates.
Logging on "your land"
Logging (performed by owner on others land)
Logging by employees
Log Road Building
Subcontract Logging
Subcontract Logging "Hauling"
Truck Driver Payroll
Other Payroll
What percentage of time are Owners/Officers/Partners active at job site?

Save and Continue Later "Warning" you have 25 days remaining to complete your questionnaire before all data is removed

Your Activities / Operations
Areas of operations (States, Counties, Towns or Regions)
Do you own the land upon which you or others are operating?
- Yes
- No
Your response was "No"... Are all required permits in place with appropriate authorites?
- Yes
- No
Is there a signed contractor with the owners?
- Yes
- No
What precautions do you take to prevent trespassing onto other land?*
What "methods" do you use to determine and identify trees for cutting?*

Save and Continue Later "Warning" you have 25 days remaining to complete your questionnaire before all data is removed

Inland Marine for tools and equipment coverage
List all heavy equipment. Include year, make, model and estimated current value

Save and Continue Later "Warning" you have 25 days remaining to complete your questionnaire before all data is removed

General Liability
Limits of Liability

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Workers Compensation
Name of current insurance carrier for workers compensation

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Commercial Auto / Transportation
Name of current commercial auto carrier
Driver Informaion
Driver name
Vehicles & Trailers
Year, Make and model

Save and Continue Later "Warning" you have 25 days remaining to complete your questionnaire before all data is removed

Additional Insured(s)

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Current Insurance
Please feel free to upload your current policies for review and please include your loss runs for each policy type.
Thank you. Please note coverage is not bound
- I understand this is just a quote
- I need coverage now!
File upload
Upload your .pdf files.
Drop files here or

Accepted file types: pdf, Max. file size: 128 MB, Max. files: 24.

Save and Continue Later "Warning" you have 25 days remaining to complete your questionnaire before all data is removed

Athena Insurance and Financial Services
205 Court Street
Jackaon CA 95642
CA #0588228 | NATIONAL#2709340

insurance@athenainsurance.com
admin@associatedloggers.com

Phone 209 223-1870
Fax: 209-223-3227
Contact Us - Click here

Loggers Broad Form Insurance Quote

Primary Form Insurance Quote Request from AssociatedLoggers.com

CHECK BOXE(S) SELECT QUOTE TYPE(S)

SELECT ACTIVITIES PERFORMED DIRECTLY OR SUB-CONTRACT OUT TO OTHERS

PAYROLL - SELECT "ACTIVITIES" YOU PERMORM OR SUB-CONTRACT

Please call (209) 223-1870 and leave us your phone number and a good day & hours to call

Contact, Business and Entity Information

Business Formation Type

Financial and Experience Information

Buildings and other Structures

Building 1

"If over 14 years old" Building Updates & Construction

Please select the liability limits required by your operations

Logger Broad Form

Payroll Estimates for the Next 12 months

Your Activities / Operations

Inland Marine for tools and equipment coverage

General Liability

Workers Compensation

Commercial Auto / Transportation

Driver Informaion

Vehicles & Trailers

Additional Insured(s)

Current Insurance