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Musical Instrument Coverage Forms:

  • Anderson Group Musical Instruments Coverage Form 221-0163 G 10 03 (Description: pdf PDF file)
  • Anderson Musical Instruments "Economy" Insurance Coverage Endorsement 221-0163 T 15 03 (Description: pdf PDF file)
  • Anderson Instrument Makers, Dealers, Repairers and Lutherie Coverage Form IM441 1462 01 16 (Description: pdf PDF file)
  • Music Agency Student Musician Policy Coverage Form 221-0163 Z 10 03 (Description: pdf PDF file)
  • Music Agency Dealer & School Rental Policy Coverage Form 221-0163 X 10 03  (Description: pdf PDF file)

 Mandatory Endorsements

  • Cap on Losses From Certified Acts of Terrorism IL 09 52 03 08 (Description: pdf PDF file)
  • Common Policy Conditions IL 0017 (11_98) (Description: pdf PDF file)
  • Commercial Inland Marine Conditions IM441-1128 (11-11) (Description: pdf PDF File)

 ISO State Forms

  • ISO State Amendatories Forms Index(Description: pdf PDF file)

 Anderson Instrument Makers, Dealers, Repairers and Lutheries Endorsements

  • Earthquake and Volcanic Action Endorsement IM441-1460 01 16 (Description: pdf PDF file)
  • Flood and Related Water Endorsement IM441-1461 01 16 (Description: pdf PDF file)
  • Property offsite Worldwide Coverage Endorsement IM441-1463 01 16 (Description: pdf PDF File)
  • Protective Measures and Safeguards Endorsement IM441-1458 01 16 (Description: pdf PDF File)

 Optional Endorsements

  • Additional Insured Endorsement - Property Leased, Rented or Loaned to Others Coverage 221-0163 R 15 08 (Description: pdf PDF file)
  • Dampness, Dryness or Extremes of Temperature Exclusion 221-0163 C 10 03 (Description: pdf PDF file)
  • Earthquake, Flood or Deductible Limitations IM 441-1050 09 08 (Description: pdf PDF file)
  • Extra Expense Seized or Confiscated Musical Instruments 221-0163 P 15 08 (Description: pdf PDF file)
  • Music Agency School Rental Program Location Endorsement 221-0163 V 10 03 ( Description: pdf PDF file)
  • Musical Instruments Electrical Apparatus Deductible Endorsement 221-0163 A 10 03 (Description: pdf PDF file)
  • Musical Instruments Surge Protection Device Warranty 221-0163 B 10 03 (Description: pdf PDF file)
  • Named Tropical Windstorm and Hurricane Exclusion 221-0163 Y 10 03 (Description: pdf PDF file)
  • Photo And Video Equipment Endorsement 221-0163 S 10 03 (Description: pdf PDF file)
  • Property Leased or Rented to Others Endorsement 221-0163 F 10 03 (Description: pdf PDF file)
  • Rental Reimbursement Additional Coverage Endorsement 221-0163 D 10 03 (Description: pdf PDF file)
  • Safes or Vaults Conditions Endorsement   (Dealers only) 221-0163 E 10 03 (Description: pdf PDF file)
  • Software Coverage for Musical Instruments Endorsement IM441 1343 02 04 (Description: pdf PDF file)

 

Anderson Group General Forms

 

 

 

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Anderson Musical Instrument Insurance Solutions, LLC
FL License # L054951 | CA License # 0I36013
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