Terrorism Insurance Application - Alliance for Contractors
ALLIANCE FOR CONTRACTORS
Terrorism Insurance Application

Comprehensive Protection Against Terrorism and Political Violence

Executive Summary

Alliance for Contractors provides comprehensive terrorism and political violence insurance coverage designed to protect your critical assets, operations, and workforce in today's complex security environment. Our integrated approach combines advanced risk assessment with proven insurance solutions to deliver unparalleled protection for high-risk locations and projects.

This coverage encompasses property damage, business interruption, and security threat protection, backed by our proprietary security assessment integration and real-time threat analysis capabilities. Alliance's terrorism insurance solutions are specifically engineered for contractors operating in challenging environments where traditional coverage falls short.

Alliance Integration Advantage: Our terrorism insurance seamlessly integrates with comprehensive security assessment protocols, advanced threat analysis systems, and proactive risk management strategies to ensure maximum protection and operational continuity.

Section 1: Company/Applicant Information

Field Information
Company Name  
Legal Entity Type  
Federal Tax ID  
Primary Contact  
Title/Position  
Phone Number  
Email Address  
Mailing Address  
Years in Business  
Annual Revenue  
Number of Employees  

Business Operations

Primary Business Activities Percentage of Revenue
   
   
   

Section 2: Project/Property Details

Primary Location Information

Field Information
Property Address  
City/State/Country  
GPS Coordinates  
Property Type  
Construction Type  
Year Built  
Total Square Footage  
Number of Stories  
Property Value  
Contents Value  

Additional Locations/Projects

☐ Multiple locations require coverage (attach schedule)
☐ Mobile/temporary project sites
☐ International operations
☐ Government contracts involved

Section 3: Risk Assessment and Location Analysis

Geographic Risk Factors

Risk Factor Present Details
High-profile/symbolic location ☐ Yes ☐ No  
Government/military proximity ☐ Yes ☐ No  
Transportation hub proximity ☐ Yes ☐ No  
High population density area ☐ Yes ☐ No  
Political instability region ☐ Yes ☐ No  
Historical terrorist activity ☐ Yes ☐ No  
Border region operations ☐ Yes ☐ No  
Critical infrastructure proximity ☐ Yes ☐ No  

Operational Risk Assessment

Current Threat Level (1-10 scale):  

Primary Concerns:

☐ Cyber terrorism
☐ Physical attacks
☐ Political violence
☐ Kidnapping/extortion
☐ Supply chain disruption
☐ Infrastructure sabotage

Section 4: Coverage Requirements

Property Damage Coverage

Coverage Type Limit Requested Deductible Preference
Building/Structure    
Contents/Equipment    
Debris Removal    
Expediting Expenses    

Business Interruption Coverage

Coverage Component Limit/Period Details
Lost Revenue    
Extra Expenses    
Contingent BI    
Civil Authority    

Additional Coverages Requested

☐ Threat Response Coverage
☐ Crisis Management
☐ Employee Evacuation
☐ Reputation Management
☐ Supply Chain Protection
☐ Cyber Terrorism Extension

Section 5: Security Measures and Threat Analysis

Current Security Infrastructure

Security Measure Implemented Vendor/Details
Professional Security Service ☐ Yes ☐ No  
Access Control Systems ☐ Yes ☐ No  
CCTV Surveillance ☐ Yes ☐ No  
Perimeter Security ☐ Yes ☐ No  
Intrusion Detection ☐ Yes ☐ No  
Vehicle Barriers ☐ Yes ☐ No  
Emergency Communication ☐ Yes ☐ No  
Threat Detection Technology ☐ Yes ☐ No  

Alliance Security Assessment Integration

Professional Security Evaluation: Alliance conducts comprehensive on-site security assessments utilizing advanced threat analysis protocols and risk modeling systems.

☐ Request Alliance Security Assessment
☐ Ongoing Threat Monitoring Service
☐ Real-time Risk Alert System
☐ Quarterly Security Review Updates

Preferred Assessment Date:  

Section 6: Claims History

Date Type of Loss Cause Amount Paid Status
         
         
         

Have you ever been declined terrorism coverage? ☐ Yes ☐ No

If yes, please explain:  

Use Cases and Benefits

Primary Use Cases

  • Terrorism Protection: Comprehensive coverage against domestic and international terrorist activities
  • Political Violence: Protection during civil unrest, riots, and political instability
  • Security Threats: Coverage for threat response and security breach incidents
  • High-Risk Projects: Specialized protection for operations in volatile regions
  • Property Damage: Full reconstruction and repair coverage for terrorist-related damages
  • Business Interruption: Revenue protection during forced operational shutdowns

Alliance Benefits

  • Integrated security assessment and threat analysis
  • Real-time risk monitoring and alert systems
  • Comprehensive risk management consulting
  • 24/7 emergency response coordination
  • Specialized claims handling for terrorism events
  • Post-incident recovery and reconstruction support

Terms and Conditions

By submitting this application, the applicant acknowledges and agrees to the following terms and conditions:

  1. Accuracy of Information: All information provided in this application is true, complete, and accurate to the best of the applicant's knowledge.
  2. Material Changes: The applicant agrees to notify Alliance immediately of any material changes in risk factors, security measures, or operational circumstances.
  3. Security Compliance: The applicant agrees to maintain minimum security standards as determined by Alliance's security assessment and to implement recommended security enhancements.
  4. Investigation Authorization: The applicant authorizes Alliance to investigate and verify all information provided and to conduct necessary security assessments.
  5. Coverage Limitations: This application does not bind coverage. All coverage is subject to underwriting approval and policy terms and conditions.
  6. Government Cooperation: The applicant agrees to cooperate fully with law enforcement and government agencies in the event of a terrorism-related incident.
  7. Risk Management: The applicant agrees to implement and maintain Alliance-recommended risk management protocols and security measures.
  8. Reporting Requirements: The applicant agrees to promptly report any security incidents, threats, or suspicious activities to Alliance and appropriate authorities.

Signatures and Attestation

I hereby certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any misrepresentation or omission of material facts may void coverage or result in claim denial.



Applicant Signature:   Date:  


Print Name:   Title:  



Witness/Agent Signature:   Date:  


Print Name:   License #:  

Alliance for Contractors - Terrorism Insurance Application

Form TI-2024 | Version 1.0 | Confidential and Proprietary