Submission Checklist
The following is to be used as a guideline for the minimum amount of information necessary to secure a quote. Individual Carriers may require additional information on a case-by-case basis.
General Liability
Acord Application (125 & 126-including prior carrier information)
5 years of hard copy loss runs valued within the last 90 days
Contractors Supplemental Questionnaire (company specific may be required at binding)
OCIPs (Wraps) – Wrap Application, Soils Report and 5 years loss history of Project GC.
Products Supplemental Application (if applicable)
Additional information (resumes for new ventures, explanation of operations, etc.)
Excess / Umbrella
Acord Applications (125, 126 and 131 – including underlying carrier, premium, term and policy limit for CGL, Auto and EL).
Description of operations for each named insured.
5 years of GL hard copy loss runs and 3 years of Auto, valued within 90 days of submission.
Contractors Supplemental Questionnaire (if applicable)
Products Supplemental Questionnaire (if applicable)
Any additional information such as layering for a higher excess carrier placement.
Professional E&O / Healthcare / Environmental
Acord Application (125)
E&O / Environmental application (Specific Supplemental may be required. Please contact us for assistance.)
5 years of hard copy loss runs valued within the last 90 days.
Property / DIC
Acord Application (125 and 131) including:
age of building, square footage, construction, number of stories, protection class, building improvements and date updated and any recent inspections or pictures3 years of hard copy loss runs valued within 90 days of submission.