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
Cyber Liability
Data Breach and Privacy Liability, Data Breach Loss to Insured and Electronic Media Liability Insurance Policy.
CLICK HERE FOR MORE INFORMATION
Submissions may be sent electronically via e-mail to submissions@jjnegley.com or via fax to 866-865-5655.
Contact our Underwriting Department today with any questions! (862-286-3550)