Get - Dfs Ny

The - Dfs Ny form is essential for summarizing specific provisions of liability insurance policies related to construction in New York. This guide will provide clear, step-by-step instructions on how to complete the form online, ensuring accuracy and compliance with necessary requirements.

Follow the steps to successfully complete the - Dfs Ny form.

1. Use the ‘Get Form’ button to access the online version of the - Dfs Ny form.
2. Enter the Agency Customer ID at the designated field at the top of the form.
3. Fill in the date in the MM/DD/YYYY format to indicate when the addendum is being completed.
4. Provide details for the named insured(s), including the legal entity's name as it appears on the insurance policy.
5. Input the policy number, ensuring that it matches the corresponding document from the insurance carrier.
6. Indicate the effective date of the policy by specifying the start date in MM/DD/YYYY format.
7. Complete the addendum information section, following the prompts to provide relevant carrier and NAIC code information.
8. Select the appropriate options concerning the General Liability policy by checking 'Admitted/Authorized' or 'Excess line or free trade zone.'
9. Specify the specific operations excluded or restricted under the General Liability policy, describing the location and type of construction.
10. Detail any additional insured endorsements related to the General Liability policy, including specific identification numbers as needed.
11. Answer questions regarding primary coverage and cancellation notifications by selecting 'Yes' or 'No' where applicable.
12. Complete information regarding additional exclusions or modifications related to cross liability, property damage, and insured vs. insured suits.
13. Finalize the form by signing in the Authorized Representative Signature section and entering the date of signature.
14. Save changes, download a copy, print the document, or share the form as required.

Complete the - Dfs Ny form online today to ensure your liability insurance needs are accurately documented.