New Company Registration

Company Information



Primary Company Representative



Contract Work



Port of Virginia Point of Contact


Do you have a Point of Contact? 

Warning: This may slow down your application


Risk Management Information


Are you the sole proprietor? 
Are you directly contracted by a VPA, VIT, or HRCPII contract? 

Insurance - check all that apply:

General Liability (Minimum Required: $1MIL Occurrence / $2MIL Aggregate) 

Please Complete The Following For Your General Liability Policy

General Liability Addl Insd 
General Liability Subr Wvd 

Commercial Auto Liability (Minimum Required: $1MIL Combined Single Limit (Each Accident)) 

Please Complete The Following For Your Commercial Auto Liability Policy

Commercial Auto Liability Addl Insd 
Commercial Auto Liability Subr Wvd 

Umbrella Liability (No Limits Required) 

Please Complete The Following For Your Umbrella Liability Policy

Umbrella Liability Addl Insd 
Umbrella Liability Subr Wvd 

Worker's Compensation (Minimum Required: Per Statute & $1MIL Employer's Liability) 

Please Complete The Following For Your Worker's Compensation / Employer's Liability Policy


Unlisted Policy Type 

Terminal Access Agreement

Not Accepted