AGENT SUBMITS APPLICATION

Complete Acord 125 Commercial Application
Acord 126 Commercial General Liability Application
Acord 140 Property Application
Supplemental Apartment Application
ATTACH THREE YEAR LOSS HISTORY
Fax all required forms to Northwest Insurance Agency at 1 866 577 7595

NORTHWEST REVIEWS THE SUBMISSION
If submission is NOT complete, Northwest will request additional information from the
Agent
If submission is complete, Northwest will request a quote from the appropriate carrier
When quote is received from the carrier, Northwest will fax the quote and binding
Instructions to Agent

AGENT CLOSES THE DEAL
Agent presents toe quote to the client
Client provides check to agent for deposit amount due
Agent faxes copy of check to Northwest Insurance Agency, 1 866 577 7595
Agent mails original check and original signatures (if required) to Northwest

NORTHWEST BINDS COVERAGE AND SERV ICES ACCOUNT
Upon receipt of faxed documents, Northwest will review for accuracy and notify carrier
To bind coverage
Northwest will notify agent that coverage has been bound
When policy is received from carrier, Northwest will review for accuracy
Northwest will mail agent copy and insured copy of policy to Agent
Northwest will process all certificate requests
Northwest will process all endorsement requests

THANK YOU FOR USING NORTHWEST INSURANCE AGENCY
YOUR BROKERING SOURCE FROM CALIFORNIA