Negley Associates values the opportunity to review your new business submission. Our experienced underwriting staff is here to evaluate your submission and design a comprehensive solution for your insured’s needs.
Below are items required for underwriting.
General & Professional Liability
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Completed Negley GL/PL application or incumbent’s renewal application (including supplemental applications)
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Most current audited financial statement, tax form, or Profit & Loss Statement (including Balance Sheet)
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Brochure or website address
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5 years of currently valued loss runs
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5 years of premium and carrier history
Directors & Officers Liability
including Employment Practices
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Completed Negley application or incumbent’s renewal application
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Current list of the Board of Directors
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Copy of By-Laws
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5 years of currently valued loss runs
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5 years of premium and carrier history
Property
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Completed ACORD 140 application
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5 years of currently valued loss runs
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5 years of premium and carrier history
Automobile
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Completed ACORD 137 application (Coverage/ Limits Section)
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Completed ACORD 127 application (Driver and Vehicle Schedule)
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Completed Auto Supplemental Application
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5 years of currently valued loss runs
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5 years of premium and carrier history
Workers Compensation
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Completed ACORD 130 application
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Current experience rating worksheet
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5 years of currently valued loss runs
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5 years of premium and carrier history
Submissions may be sent electronically via e-mail to submissions@jjnegley.com or via fax to 973-830-8585.
Contact our Underwriting Department today with any questions! (973-830-8500)