These supplemental applications are a quick starting point—and not always required to obtain quotes. They help us assess underwriting fit across available markets and pinpoint the best coverage options and pricing for your business. After we review your details, we’ll market your risk to the right mix of admitted and surplus lines carriers and deliver tailored recommendations.
How it works
- Choose the application for your coverage need.
- Provide core details (operations, payroll/revenue, locations, prior carrier, loss history).
- Submit—our team reviews, shops the market, and follows up with next steps or clarifying questions.
Helpful to have ready: 3–5 years of loss runs, prior policy declarations, COPE/building info (if property), contracts with insurance requirements, and any safety/cyber controls.
Disclosures & Acknowledgments
By submitting a supplemental application through CORY WASHINGTON & CO. LLC (“we,” “us,” “our”), you acknowledge and agree to the following:
- No coverage is bound. Submission of information does not bind or guarantee coverage. Coverage becomes effective only upon insurer approval and issuance of a binder/policy and completion of any required payments.
- Indicative only. Any indications or quotes are estimates and subject to underwriting review, verification, inspections, and third-party reports (e.g., MVR, ISO, NCCI, loss runs). Final terms, conditions, limits, and premiums may change.
- Accuracy matters. You confirm all information provided is true, complete, and accurate to the best of your knowledge. Misstatements or omissions can result in revised pricing, declination, policy rescission, or claim denial.
- Authorization to market & obtain reports. You authorize us to submit your information to insurance carriers, MGAs/wholesalers, and related third parties to obtain quotes, and—where permitted—to request loss runs, experience mod worksheets, inspections, and other underwriting reports. Additional written authorizations may be requested as needed.
- Privacy. We protect your information consistent with our Privacy Policy and applicable law. We use your data solely for quoting, placement, and servicing of insurance.
- Fees & compensation. Brokerage or service fees and/or carrier commissions may apply; any fees will be disclosed in writing before you purchase. Certain state taxes/surcharges may apply to surplus lines placements.
- Surplus lines notice. Some policies may be placed with non-admitted carriers; such policies are not protected by state guaranty funds and may include additional taxes/fees.
- No legal, tax, or accounting advice. Information on this site is general and for insurance placement purposes only. Consult your professional advisors regarding legal, tax, or accounting matters.
- Electronic communications consent. By submitting, you consent to receive emails and/or SMS for quotes, underwriting questions, and policy servicing. You may opt out anytime (reply STOP to SMS or use unsubscribe links). Message/data rates may apply.
- Compliance screening. We may verify identities and screen against sanctions lists (e.g., OFAC) as required by law.
Have questions before you start? Contact us at sales@corywashington or 702-803-8865 —we’re here to help you get the right coverage at the right price.