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

• Completed Negley GL/PL application or incumbent’s renewal application (including supplemental applications)

• Most current audited financial statement, tax form, or Profit & Loss Statement (including Balance Sheet)

• Brochure or website address

• 5 years of currently valued loss runs

• 5 years of premium and carrier history

Directors & Officers Liability - including Employment Practices

• Completed Negley application or incumbent’s renewal application

• Current list of the Board of Directors

• Copy of By-Laws

• 5 years of currently valued loss runs

• 5 years of premium and carrier history

• Most current audited financial statement, tax form, or Profit & Loss Statement (including Balance Sheet)

Property

• Completed ACORD 125 and 140 applications

• 5 years of currently valued loss runs

• 5 years of premium and carrier history

Workers Compensation

• Completed ACORD 130 application

• Current experience rating worksheet

• 5 years of currently valued loss runs

• 5 years of premium and carrier history

• Supplemental Workers Compensation Application

Cyber Liability

• 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)