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Miscellaneous E&O/Professional Liability CONTACT US Dave Perkins, RPLU Executive Vice President and Practice Leader (508) 848-4263 dave.perkins@igpspecialty.com Visit us at igpspecialty.com The

PUBLIC ENTITY CLASSES ■ City  /  County  /  Commissions  /  Districts  /  State Agencies ■ Alcohol Beverage Control Boards ■ Airport Authorities ■ Building Authorities ■ Commissions ■ Energy

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IGP Specialty: Elevate Your Book of Business IGP Specialty delivers the industry’s leading specialty insurance solutions — empowering agents to write more, win more and grow more. Born

REV. 07.13.26 Specialty Programs and Market Solutions Designed to help agents and brokers win SPECIALTY INSURANCE ELEVATED Programs available to all producers IGP Specialty delivers

Davies Group PO Box 110259 Lakewood Ranch, FL

PAGE 1 OF 3 New/Ground-Up Construction Supplemental Application REV 03.10.23 NOTE: THIS SUPPLEMENTAL APPLICATION MUST BE ATTACHED TO THE ACORD-125 GENERAL APPLICANT INFORMATION APPLICATION.

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Builders' Risk Renovations Supplemental Application Remodel / Renovation / Rehabilitation *** THIS SUPPLEMENTAL APPLICATION MUST BE ATTACHED TO THE ACORD GENERAL APPLICANT INFORMATION

CREDIT UNION BOND, MANAGEMENT AND PROFESSIONAL LINES, CYBER RISK, AND PACKAGE INSURANCE J.B. Lloyd & Associates specializes in helping credit unions find the best insurance company and terms to

CONTACT US Aaron Cardwell, CIC, RPLU President (469) 983-710 aaron.cardwell@igpspecialty.com J.B. Lloyd & Associates, a division of IGP Specialty, was founded in 1988 to provide specialty

LENDER PLACED HAZARD AND FLOOD PROGRAM Insurance purchased by lenders to protect their collateral interests in real property when they become aware of insurance lapses on an active mortgage loan

FORCE PLACED/FORECLOSED HAZARD & FLOOD Insurance purchased by lenders to protect their collateral interests in real property. ■ When they become aware of insurance lapses on an active mortgage

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GENERAL INFORMATION Effective Date: Insured Name: Mailing Address : Property Address (if different to above) UNDERWRITING INFORMATION NFIP Flood Zone_________ 100% Replacement Cost

OUR TOP CLASSES COVERAGES AVAILABLE ■ Professional and General Liability ■ Data Breach ■ Employee Benefits ■ Sexual Abuse/Molestation COVERAGE HIGHLIGHTS ■ Covers employees, directors,

Additional Insured Supplemental Application E&O Insurance Applicant's Name: What is the name of the firm, company or group requiring additional insured coverage? Are you required by contract

Section I 1. Wesco Insurance Company 800 Superior Ave East 21st Floor Cleveland, OH 44114 Agency Name: NOTICE: THE POLICY FOR WHICH YOU ARE APPLYING PROVIDES COVERAGE ON A CLAIMS MADE AND

1 Applicants Name: 2 Number of longhaul trucking accounts being place: Textfield: 4 of Single OwnerOperatorsplaced: of Trucking Companies placed: 5 Fleet size: Radius of operation: