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Broker Agreement - For information only. |
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| ACCOUNTANTS
PROFESSIONAL LIABILITY |
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The Hartford Accountants Professional
Liability |
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HARTFORD ACCOUNTANTS COUNTRYWIDE FORMS (EXCEPT FL, MO
& NY, BELOW) |
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Hartford Accountants Professional Liability Policy (AC00H003-01-0507) |
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Hartford Accountants Fin. Plan. & Inv. Advisory Svcs. Endorsement
(AC00H041 00 1208) |
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Hartford Accountants Countrywide Application (ACOOH001
01 1208) |
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Hartford Accountants Preliminary Premium Indication |
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Hartford Accountants RENEWAL Application (ACOOH040
00 1208) |
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Hartford Accountants Claim Supplement (AC00H014) |
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Hartford Accountants Client Funds Supplement (AC00H007) |
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Hartford Accountants Financial Inst. Supplement (AC00H008) |
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Hartford Accountants Fin. Plan. & Inv. Advisory Svcs.Supplement
(AC00H042 00 1208) |
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Hartford Accountants Information Technology Supplement (AC00H009) |
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Hartford Accountants Non Public Audit Supp (AC00H010) |
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Hartford Accountants Outside Interest Supp (AC00H011) |
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Hartford Accountants Securities Supp (AC00H012) |
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Hartford Accountants Separate Entity Supp (AC00H013) |
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Hartford Accountants Trustee Supp (AC00H015) |
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HARTFORD ACCOUNTANTS FL, MO & NY FORMS |
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Hartford Accountants Florida Application (AC09H001) |
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Hartford Accountants Missouri Application (AC24H001 01 1208) |
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Hartford Accountants New York Application (AC31H001 02 1208) |
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Hartford Accountants New York RENEWAL Application (AC31H040
00 1208) |
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Fireman's Fund Accountants Professional
Liability |
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Fireman's Fund Accountants Policy |
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Fireman's Fund Accountants New Business Application |
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Fireman's Fund Accountants Renewal Application |
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Fireman's Fund Accountants Claims Supp. App. |
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Fireman's Fund Accountants Fin.Plan.,Invest.Mgt. Asset Advisory
Services Supp. App. |
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Fireman's Fund Accountants Securities Supp. App. |
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Fireman's Fund Accountants Financial Institutions Supp. App. |
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Fireman's Fund Accountants Non-Public Audit Supp. App. |
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Fireman's Fund Outside Interests Supp. App. |
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Fireman's Fund Accountants Tax Shelters Supp. App. |
| Accountants
Package Policy |
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Package Policy for Accountants -- Application |
Crime Coverage |
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Crime - New Business Application |
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Crime - Renewal Application |
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Crime - 3rd Party - Blanket Supplemental |
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Crime - 3rd Party - Contract Specific Supplemental |
| EPLI
Coverage |
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EPLI Application |
| Home Inspectors
Professional Liability / General Liability |
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Home Inspectors Online Application |
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Download Home Inspectors Insurance Application: All
States Except ARIZONA |
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Download Home Inspectors Insurance Application: ARIZONA
ONLY |
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Home Inspectors Claim Supplement |
Lawyers
Excess & Surplus Lines Program |
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Lawyers E&S Professional Liability Insurance Application |
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Lawyer's E&S Professional Liability Claims-Made Insurance
Policy |
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Bond - Federal, State or Municipal Supplemental Application |
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Claim/Incident Information Supplement |
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Copyright Patent Trademark Supplement |
| view |
Entertainment And Investment Counseling/ Money Management Supplement
Application |
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Environmental Supplement |
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Exclusion of Certified Acts of Terrorism |
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Financial Institution Supplement |
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Important Notice Regarding Terrorism Coverage |
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New Lawyer Information |
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Of Counsel Supplement |
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Outside Interest Supplemental Application |
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Plaintiff Litigation Supplement |
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Real Estate Practice Supplement |
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Securities Supplemental Application |
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Securities Exclusion |
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Tax Questionnaire |
| The
Hartford Lawyers Professional Liability |
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The Hartford Lawyers Professional Liability Policy (H053) |
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COUNTRYWIDE HARTFORD APPLICATIONS |
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New Business Application (LP00H054) EXCEPT FL, MO
& NY - SEE BELOW |
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Renewal Application (LP00H055) EXCEPT NY -- SEE BELOW |
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Premium Indication Form |
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Notice of Acceptance (Application Warranty) |
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HARTFORD SUPPLEMENTS / CLAIM FORM (Ex. New Lawyer Form
for MO, see below) |
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Additional Locations Supp. (LP00H056) |
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Career Coverage (LP00H057) |
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Claim Form (LP0H066) |
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Copyright Patent Trademark Supplement (LP00H112) |
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Entertainment Supplement (LP00H058) |
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Financial Institutions Supplement (LP00H059) |
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New Lawyer Information Supplement (EX MO)
(LP00H060) |
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Outside Interests (LP00HG061) |
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Plaintiff Litigation (LP00HG0621) |
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Real Estate Practice Supplement (LP00H064) |
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Securities Supplement (LP00H065) |
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Title Insurance (LP00H067) |
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Trustee Supplement (LP00H063) |
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Florida Specific Applications |
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New Business Application (FL ONLY) (LP09H054) |
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Missouri Specific Applications |
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The Hartford New Business Application (MO ONLY)
(LP24H054) |
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New Lawyer Information Supplement (MO ONLY) (LP24H060) |
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New York Specific Applications |
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The Hartford New Business Application (NY ONLY)
(LP31HO54) |
view |
The Hartford Lawyers Renewal Application (NY ONLY) (LP31H055) |
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Package Coverage for Law Firms |
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Package Policy for Law Firms -- Application |
| Package for
Professionals |
| view |
Package Policy Application |
| Staffing
Firms E & O / EPLI /GL |
| view |
National Casualty Application for Professional Liability and
EPLI (All states except KS, NM, NY and VT) |
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Cost Indication Request Form |
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National Casualty App for Professional Liablity and EPLI (Kansas
ONLY) |
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National Casualty App for Professional Liablity and EPLI (New
Mexico ONLY) |
| view |
National Casualty App for Professional Liablity and EPLI (New
York ONLY) |
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National Casualty App for Professional Liablity and EPLI (Vermont
ONLY) |
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National Casualty App for General Liability |
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National Casualty App for Hired and Nonowned Auto |
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National Casualty Renewal Application (All states except NM,
NY & VT) |
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National Casualty Renewal Application (New Mexico ONLY) |
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National Casualty Renewal Application (New York ONLY) |
| view |
National Casualty Renewal Application (Vermont ONLY) |
| Staffing
Firms Package Insurance for Staffing Firms |
| view |
Staffing Firms Office Package Application |
| view |
Staffing Firms Office Package Additional Insured / Waiver of
Subrogation Supp. |
| Tax Preparers
Liability Insurance |
| view |
Tax Preparers Professional Liability Application -- All
states except New York
NOTE: You can estimate your premium using the
Tables attached to the application.
|
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Tax Preparers Professional Liability Application -- New
York ONLY
NOTE: You can estimate your premium using the
Tables attached to the application.
|
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Supplemental Claim / Error Reporting Form -- All states
except New York |
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Supplemental Claim / Error Reporting Form -- New York
ONLY |
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Credit Card Authorization Form -- All states |
