Professional Liability
Management Liability
& Specialty Insurance

Applications - Industries

Prior to completing your professional 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 (310-796-9054). Do not hesitate to call us if you have any questions regarding your application.

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, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Washington, Wisconsin, Wyoming.

For the property and casualty insurance applications, form Acord 125 must be completed in addition to the forms for the requested coverages.

Property and Casualty Insurance Coverages
Acord 125 - Commercial Insurance Application Application
Acord 126 - General Liability Application
Acord 127 - Business Automobile Application
Acord 130 - Workers' Compensation Application
Acord 131 - Commercial Umbrella Application
Acord 140 - Commercial Property Application
Acord 146 - Equipment Floater (Inland Marine) Application
Acord 155 - Boiler & Machinery (Equipment Breakdown) Application
Acord 160 - Business Owner's Policy (Package) Application

ERISA Fidelity Bonds
ERISA Bond Application