Property & Casualty

Adult Day Care General Liability Application

Alarm Installation, Servicing, Monitoring or Repair General Liability Application

Amusement Program General Liability Application
(Complete in addition to ACORD General Liability Application)

Animal Services Program Supplemental Application
(Complete in addition to ACORD Application)

Apartment Building/Habitational Application

Apartment Building/Habitational Security Supplement
(Complete in addition to Apartment Building/Habitational Application when Security Guard on premises)

Apartment Building/Habitational Swimming Pool Supplement
(Complete in addition to Apartment Building/Habitational Application when Swimming Pool on premises)

Artisan Contractors General Liability Application

Artisan Contractors Renewal Application

Auto Repossessors Questionnaire
(Complete in addition to General Liability Application)

Bailees Customers Application

Bar, Restaurant or Tavern General Liability Application

Bar, Restaurant or Tavern Package Application

Beauty Shop, Barber Shop and Day Spa Liability Application

Blasting Contractors Supplemental Application
(Complete in addition to ACORD General Liability Application)

Boat Marinas or Yards/Boat Repair/Boat Storage Supplemental Application
(Complete in addition to ACORD General Liability Application)

Builders Risk Application

Car Wash - Self Serve

Caterers and Halls General Liability and Miscellaneous Articles Application

Church/House of Worship Application

Clergy Counseling Errors and Omissions Application
(Complete in addition to Church Application)

Climbing Wall Questionnaire
(Climbing, Tread, and Bouldering)

Club Program Supplemental Application
(Complete in addition to ACORD General Liability Application)

Commercial Fine Arts Application

Commercial General Liability Additional Insured Questionnaire

Commercial General Liability Application

Commercial General Liability Renewal Application

Commercial Inland Marine Application
(Animal Floater, Golf Carts, Signs)

Commercial Inland Marine Contractor's Equipment Application

Commercial Package Application

Commercial Property Application

Condominium and Homeowners Association D&O Liability Application
(Complete in addition to Condominium and Homeowners Association GL App)

Condominium and Homeowners Association General Liability Application

Consultant Liability Application

Contractors Equipment Rental General Liability Application

Convalescent Homes/Residential Care/Homes for the Aged GL Application

Cyber Cafes/Internet Auctions/Internet Retailers Supplemental Application

Dam Questionnaire

Day Care Application

Demolition Contractors (Annual Policy) General Liability Application

Demolition Contractors (Per Job Basis) General Liability Application

Detective or Investigative Agencies (Private) & Process Servers Supplemental
Application (Complete in addition to ACORD General Liability Application)

Distributors and Wholesalers Program General Liability Supplemental
Application (Complete in addition to ACORD General Liability Application)

Employment Agencies (Temporary Clerical or Retail) Application

Employment-Related Practices Liability Supplemental Application

Energy Operator/Non-Operator Supplement

Event and Party Planners Supplemental Application

Excavators and Grading of Land Supplemental Application
(Complete in addition to ACORD General Liability Application)

Exercise and Health Studio and Personal Trainer Supplemental Application
(Complete in addition to ACORD Application)

Exhibition Application

Exterminators General Liability Application

Fire Sprinkler Contractor General Liability Application

Fitness Center/Health Club Application

Flea Markets/Swap Meets/Bazaars General Liability Application

Foreclosure/Eviction Cleanup Supplemental Application
(Complete in addition to ACORD General Liability Application)

General Contractors/Developers General Liability Application

Grocery/Convenience Store Application

Halfway House General Liability Application

Hole-In-One Coverage Application

Home Health Care and Miscellaneous Home Services GL Application

Hunting Clubs, Preserves and Shooting Ranges General Liability Application

Janitorial Program General Liability Application

Landowners Program Supplemental Application
(Complete in addition to ACORD General Liability Application)

Landscaping/Tree Trimming General Liability Application

Laundry

Liquor Liability (IL only) Application

Liquor Liability (IN only) Application

Liquor Liability (OH only) Application

Liquor Liability Hall Rental/Caterers (IN only) Supplement
(Complete in addition to IN Liquor Liability Application)

Liquor Liability Policy (IN only) Renewal Application

Liquor Liability Retail Store (IN only) Application

Liquor Liability Retail Store Multi-Location (IN only) Supplement
(Complete in addition to IN Liquor Liability Application)

Liquor Liability Special Event (IL only) Application

Liquor Liability Special Event (IN only) Application

Liquor Liability Special Event (OH only) Application

Logging and Lumbering Program Supplemental Application
(Complete in addition to ACORD General Liability Application)

Machine Shop Supplemental Application

Machinery & Equipment Supplemental Application
(Complete in addition to ACORD Application)

Manufacturing Questionnaire

Martial Arts Studio Supplemental Application
(Complete in addition to ACORD Application)

Medical Equipment Supply Stores Liability Application

Medical Marijuana General Liability Application

Medical Testing Laboratories Liability Application

Miscellaneous Articles Application

Mobile Agriculture Machinery and Equipment Application

Mobile Home Parks and Campgrounds Program Supplemental Application
(Complete in addition to ACORD General Liability Application)

Motel Program Supplemental Application
(Complete in addition to ACORD Application)

Non-Owned and Hired Auto Coverage Supplemental Questionnaire

Oil and Gas Application

Oil and Gas Contractors Supplement

Outfitters and Guides Program Supplemental Application

Owners/Contractors Protective Liability Application

Plastic Manufacturing Questionnaire

Prize Indemnification Application

Products Liability Application

Racing Special Events Supplemental Application
(Complete in addition to Special Events Application)

Real Estate Property Management Supplemental Application
(Complete in addition to ACORD General Liability Application)

Riggers Liability Questionnaire

Roofers Questionnaire
(Complete in addition to General Liability Application)

Scaffolding Contractors Liability Application

Schools - Private, Technical, Trade and Vocational Supplemental Application
(Complete in addition to ACORD General Liability Application)

Security Guards and Related Operations General Liability Application

Single Interest

Special Event General Liability Application

Sports Camps/Clinics/Leagues General Liability Application

Stable Liability

Surfing/Paddle Board Instruction and Beach Equipment Rental Liability Application

Swim and Racquet Club Program Application

Swimming Pool Contractors, Dealers and Installers Supplemental Application
(Complete in addition to ACORD General Liability Application)

Swimming Pool Maintenance and Management Supplemental Application
(Complete in addition to ACORD General Liability Application)

Swimming Pool Survey

Tanning Salon Program Supplemental Application
(Complete in addition to ACORD General Liability Application)

Telecommunication Towers Supplemental Application
(Complete in addition to ACORD General Liability Application)

Theatrical Property Application

Transportation Services Program Supplemental Application

Trip Transit Application

Truckers Program Supplemental Application

Unmanned Aircraft System (UAS) Application

Vacant Building Application

Vacant Building Program Supplemental Application
(Complete in addition to ACORD Application)

Warehouse Operators Legal Liability Coverage Questionnaire

Warehouse Program Supplemental Application
(Complete in addition to ACORD General Liability Application)

Water Park Liability Application

Water Supply Companies and Irrigation Systems Supplemental Application
(Complete in addition to ACORD General Liability Application)

Welding, Brazing and Cutting General Liability Supplemental Application
(Complete in addition to ACORD General Liability Application)

Wind & Solar Energy Liability Application

Zoo Liability Supplemental Application
(Complete in addition to General Liability Application)

About Us

Roush Insurance Services, Inc. is a managing general insurance agency that has been in business since 1990. We offer licensed insurance agents access to the excess and specialty market for risks domiciled in Indiana, Illinois and Ohio.

Industry Links

Our membership in AAMGA, NAPSLO, PIA of IN, IIA of IN and IIA of IL enables us to stay abreast of industry developments and better serve your insurance needs.

Contact Us

Roush Insurance Services, Inc.
PO Box 1060
Noblesville, IN 46061-1060
Toll Free: (800) 752-8402
Phone: (317) 776-6880
Fax: (317) 776-6891
Submissions: quote@roushins.com
Claims: claim@roushins.com
Accounting: accounting@roushins.com
Information: info@roushins.com