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
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Most current audited financial statement, tax form, or Profit & Loss Statement (including Balance Sheet)
Property
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Completed ACORD 125 and 140 applications
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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
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Supplemental Workers Compensation Application
Cyber Liability
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Completed Data Breach and Cyber Liability Application.
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! (800-845-1209)
Payment Address:
Negley Associates
PO Box 664062
Dallas, TX 75266-4062
Overnight Payment Address:
Negley Associates
PO Box 664062
12720 Hillcrest Road #115
Dallas, TX 75230
We encourage you to use our online payment portal. Pay by ACH or Credit Card, and payments post in two business days!
ONLINE PAYMENTS: https://apps.crcgroup.com/pay
Please note that any payments already sent to the previous addresses will be forwarded for a period of time, but could cause delays in receiving and applying payments. We appreciate your assistance in making this a seamless transition!
If you have any questions, please don’t hesitate to reach out to Negley Accounting at
AMurrayKent@CRCGroup.com or call 844-530-0089.