Applications - Management Liability Insurance

Prior to completing your management liability insurance application, please first verify that your state is on the list of states we serve. Complete your application and return to us by either email (scan of signed application) or fax. Do not hesitate to call us if you have any questions regarding your application. If you already have a recently completed application from a different broker or insurance company, we will gladly accept it.

CB Malaga Insurance Services LLC operates in the following states: Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Louisiana, Maine, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Washington, Wisconsin, Wyoming.


Multi-Coverage
Private Companies - D&O, EPL, Fiduciary, Crime, K&R Application
Public Companies - D&O, EPL, Fiduciary, Crime, K&R Application
Private Partnerships - D&O, EPL, Fiduciary, Crime, K&R Application

Directors and Officers Liability (D&O) Only
Private Companies - D&O Only Application
Public Companies - D&O Only Application
Private Partnerships - D&O Only Application
Side A - Private Companies Application
Side A - Public Companies Application
Side A - Financial Institutions Application

Employment Practices Liability (EPL)
Private Companies Application
Public Companies Application

Fiduciary Liability
Private Companies Application
Public Companies Application

Fidelity Bond/Crime
Private Companies Application
Public Companies Application

Kidnap and Ransom
All Entities Application