Application for Bid Protest Insurance Coverage
Please answer all the questions on this form. Before any question is answered please carefully read the declaration at the end of the application form, which you are required to agree to. Underwriters will rely on the statements that you make in this form. Any coverage that will be provided will be based upon these representations made by you.
About The Company
Has the company ever been convicted of Fraudulent Activities in a court of law?
About The Contract
If this is a IDIQ or BPA please input the master umbrella number
For example, Request for Proposal or Request for Quotation
For example, Fixed Price, Cost Reimbursement, IDIQ, Time & Materials, BPA
If the final contract amount is more than 15% higher than the contract amount provided on this online application we reserve the right to charge an additional premium above the quoted premium amount.
Past Bid Protests
Has the company ever been subject to a Bid Protest before on a Prime contract that they were awarded?
If yes, was the protest sustained?
United Government Contractor Association
As stated previously, to apply and qualify for Bid Protest Insurance, the company must be a member of the United Government Contractors Cooperative Association. 

I wish to become a UGCCA member
Or, I am already a member
Disclaimers
ANY COVERAGE WE PROVIDE IN RESPONSE TO THIS APPLICATION WILL COVER A BID PROTEST TO THE GOVERNMENT ACCOUNTABILITY OFFICE ONLY. WE WILL NOT COVER CONTRACTING AGENCY BID PROTEST OR COURT OF FEDERAL CLAIMS BID PROTEST.
I agree
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Policy@BidProtestInsurance.com
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Disclaimer Statement:
Informational statements regarding insurance coverage are for general description purposes only. These statements do not amend, modify or supplement any insurance policy. Consult the actual policy for details regarding terms, conditions, coverage, exclusions, products, services and programs which may be available to you. If there is any conflict between this description and the policy, the policy will control. Your eligibility for particular products and services is subject to the final determination of underwriting qualifications and acceptance by the insurance underwriting company providing such products or services.

Coverage not available in Montana, Nevada, Oklahoma, Rhode Island, Wyoming, Utah, and Hawaii