Agent Resources
Effective January 1st, 2020, the email domain @mjkellyar.com is inactive. Please immediately direct all email correspondences to the email domain @mjkelly.com. MJ Kelly does NOT receive any emails sent to the @mjkellyar.com domain.
Get a Quote
USLI
USLI Instant Phone Quotes
With just a few questions, we can provide an instant USLI phone quote for over 50 Commercial Lines and Professional/Non Profit Products. No applications needed!
Get started today by calling
1-800-663-2183
Underwriters are available Monday-Friday 7am-8pm EST and Saturdays 9am-1pm EST.
USLI Online Quotes
Commercial Products
1-4 Family Dwellings (Commercial)
Apartments
Artisan/Trade Contractors
Beauty/Nail Salon/Barber Shop
Clothing Store
Commercial Umbrella/Excess Liability
Concessionaire and Vendor
Convenience Store/Delicatessen/Grocery
Contractor’s Equipment
Electronic Store
Fitness Center
Inland Marine – Builder’s Risk
Janitorial Services
Land Leased to Others
Laundromats
Lawn Care
Lessor’s Risk Only
Liquor Stores
Long Shot
Main Street Mercantile
Residential Condominium Unit Owners
Restaurants
Specialty Training Schools
The Office
Truckers
Vacant Building
Vacant Land
Professional Products
USLI Quote – Bind – Pay
Time is money when it comes to insuring special events. With MJ Kelly, you can quote, bind and pay for special events online. You’re just a few clicks away from providing your applicant with a certificate of insurance that includes additional insureds!
We offer general liability and liquor liability for hundreds of special events, including: weddings, cocktail parties, concerts, festivals, golf outings, parades, and sporting events.
Special Event Products
NICO
National Indemnity Company’s Get A Quote tool provides instant rate indications for a variety of commercial auto risks. To get started, simply select your branch below.
Missouri Branch Agents
For Missouri Branch Agents, the following states are available for instant quoting: AR, IA, IL, KS, MO, MS, OK, TN, TX
Arkansas Branch Agents
For Arkansas Branch Agents, the following states are available for instant quoting: AR, LA, MS, OK, TN, TX
Texas Branch Agents
For Texas Branch Agents, the following state is available for instant quoting: TX
* For all other branches and states, please contact us to discuss available options.
Personal Lines
Need assistance quoting a Surplus Lines Homeowners account? We are pleased to extend the power of JenCap’s platform. MJ Kelly’s sister company, Risk Innovations, specializes in monoline Surplus Lines homeowners risks starting at $150,000 Coverage A. They have the unique market access and underwriting expertise to fit your clients’ needs. Consult their online rater to get a quote today!
Forms and Applications
Property and Casualty
Beauty Salon Application
Cannabis Supplemental Application
Churches Supplemental Application
Condominium HOA GL and D&O Application
Contractors Supplemental Application
Convenience, Grocery Store & Liquor Store Warranty Application
D&O and EPL Application
Day Care Application
Demolition Contractors Application
Emergency and Non-Emergency Medical Transport Supplemental
Environmental Services Application Contractors & Consultants
Excavation & Grading of Land Supplemental
Exercise & Health Studio Supplemental
Farm and Ranch Application
Habitational Supplemental Application
Home Health Care Application
Hotel Motel Supplemental
Janitorial GL Supplemental
Landowner Real Estate Development Supplemental
Lessors Risk Supplemental Application
Liquor Liability Product Application
Logging & Lumbering Supplemental
Machinery & Equipment Supplemental
Mobile Concessions Application
Mobile Home Parks Application
Pest Control Services Supplemental
Products Liability Application
Professional Liability Supplemental
Remodelers Supplemental
Restaurant Application
Roof Supplemental
Special Event Liability Application
Tattoo & Piercing Supplemental
Technology Professional Package Application
Tree Trimming, Landscape, Gardening & Lawn Care Supplemental
Vacant Building Supplemental
Vacant Renovation Property Supplemental
Warehouse Program Supplemental
Welding Supplemental
Transportation
Hazmat Truck Application
Atlantic Casualty Garage App
Atlantic Casualty Heavy Bus, Truck, Trailer Supp
Canal Trucking Application
Canal Trucking Fleet Application
Century Surety Garage Application
Century Surety Heavy Truck, Bus, Trailer Supp
Colony Garage Application
Colony Heavy Vehicle & Equipment Questionnaire
Excess Auto Truckers Supplement
Hartford Truck Transit Livestock Application
IAT Garage Application
Lloyds Auto Proposal Form
Lloyds DOL-GKLL Proposal Form
Lloyds Motor Truck Cargo Proposal Form
MJ Kelly Auto Quick Quote
NI-AR Public Application
NI-AR Truck Application
NI-IA Public Application
NI-IA Truck Application
NI-IL Truck Application
NI-KS Public Application
NI-KS Truck Application
NI-LA Public Application
NI-LA Truck Application
NI-MO Public Application
NI-MO Truck Application
NI-MS Public Application
NI-MS Truck Application
NI-OK Public Application
NI-OK Truck Application
NI-TX Public Application
NI-TX Truck Application
Scottsdale Garage Application
General Acord Applications
Acord 24 Certificate of Property Insurance
Acord 25 Certificate of Liability Insurance
Acord 27 Evidence of Property Insurance
Acord 35 Cancellation Request
Acord 36 Agent of Record Change
Acord 37 Statement of No Loss
Acord 80 Homeowner Application
Acord 81 Personal Inland Marine Application
Acord 92 Medical Statement
Acord 93 Young Driver Questionnare
Acord 101 Additiional Remarks Schedule
Acord 125 Commercial Insurance Application
Acord 126 Commercial General Liability Section
Acord 126 Instructions
Acord 127 Business Auto Section
Acord 130 Workers Compensation Application
Acord 131 Umbrella Supplement
Acord 139 Statement of Values
Acord 140 Instructions
Acord 140 Property Section
Acord 144 Glass and Sign Supplement
Acord 146 Equipment Floater Section
Acord 147 Installation Builders Risk Section
Acord 148 Electronic Data Processing Section
Acord 175 Commercial Policy Change Request
Acord 185 Restaurant Supplement
Acord 186 Contractors Supplement
Get Appointed
We are thrilled for the opportunity to earn your business! MJ Kelly’s broad market access and underwriting expertise will provide practical solutions for your clients’ unique needs.
To get appointed with MJ Kelly, please complete the following items and send them to: new_producers@mjkelly.com
MJ Kelly Broker Agreement
Producer Questionnaire
W9 Form
ACH Authorization Form and copy of voided check
Copy of current state agency license
Copy of current Errors & Omissions Dec Page ($1MM+ limit)
Welcome Letter
New Agency Appointment Instructions
MJ Kelly Broker Agreement
Producer Questionnaire
W9 Tax Form
ACH Request Form
Don't forget
Sign and date all forms.
Please include
A copy of your agency’s current E & O declarations page and a copy of your agency’s license.
Important notice. Completion of these forms in no way constitutes appointment in any way by an MJ Kelly office. Your agency will be contacted after careful review of your submission, and, if approved, your agency will be assigned a unique producer identification number. Binding authority is not extended to any agent or agency.