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
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)