Forms

property only


Completed Acord 125
Completed Acord 140
3-5 years of currently valued loss runs (if applicable)


Please be sure to include all building information on the Acord 140 (even if you are not requesting coverage for the building itself)

  • Please see forms page for any Supplementals needed
  • Please Call Richter Robb for Acord forms or if you have any questions regarding what supplemental is needed.

Package / Bop Quotes


In order for Richter Robb to provide you with a BOP or package quote, we will need the following:

  • Completed Acord 125
  • Completed Acord 126
  • Completed Acord 140
  • 3-5 years of currently valued loss runs (if applicable)
  • Appropriate Supplemental (if applicable)

Please be sure to include the following :

date business started
number of active owners
employee only payroll
number of full and part time employees
annual sales / receipts
area / square footage
All building information on the Acord 140 (even if you are not requesting coverage for the building itself)


General Liability only


Completed Acord 125
Completed Acord 126
3-5 years of currently valued loss runs (if applicable)
Appropriate Supplemental (if applicable)

Please be sure to include the following in your submission:
number of active owners
employee only payroll
number of full and part time employees
annual sales / receipts
area / square footage


How to Submit: GL, Property & Package Risks

Send Complete submissions toCSR@RichterRobb.com