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Applications
For Non-Real Estate Applications please call our office at
201-847-9175 as we are updating this site. We apologize for
the inconvenience.
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Our files are often in PDF format. If you do not have Adobe
Acrobat Reader, click the image below to download and install
the free program.
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Errors and Omissions Insurance Applications
In order to be considered for commercial real
estate E&O Insurance an application must be submitted
for our underwriter. Our Errors and Omissions Insurance applications
seek to obtain information that will allow the underwriter
to understand your real estate business and for us to recommend
the appropriate real estate E&O policy for you. Please click
on the files below, complete and either fax or mail back to
us with the appropriate supporting documentation.
Printable Real Estate Applications
Printable Application for Insurance Agents and Brokers
Printable Application for Architects and Engineers
Other Forms
Disclosure (Please read carefully
before completing the errors and omissions insurance application)
The attached applications are a warranty applications. Specifically,
this means that the insurance carrier will rely upon the statements
made therein to make decisions concerning claims, policy interpretation,
etc.
It is important that, prior to signing, you take a moment
to confer with your management team and make certain than
any significant changes in your company have been reported,
all revenues/premium volumes are accurate, and most importantly
that any known or suspected claims are fully disclosed. All
known claims or incidents that you believe might give rise
to a claim must be reported to the current insurance carrier
as soon as possible as outlined in your current policy.
In the tightening market we have now seen carriers look harder
than ever before at what should be reported on an application
for insurance when reviewing claims. Sadly, we have seen claims
denied due to omissions on applications or a failure to report
claims when required. Please protect yourself and your business
by taking a moment to review the application before you sign
it. We thank you for your business and look forward to serving
as your agent for years to come.
Mike W Smith, President
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