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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) |
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Hartford Accountants Countrywide Application (ACOOH001) |
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Hartford Accountants Preliminary Premium Indication |
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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 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) |
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Hartford Accountants New York Application (AC31H0016-07) |
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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 |
| Architects
& Engineers Insurance |
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A & E Errors & Omissions -- Application |
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A & E Employment Practices Liability -- Application |
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A & E General Liability & Property -- Application |
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A & E Commercial Auto -- Application |
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A & E Crime -- Application |
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A & E Workers Comp -- Application |
Crime Coverage |
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Crime Application |
| EPLI
Coverage |
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EPLI Application |
| Home Inspectors
Professional Liability / Premises Liability |
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Home Inspectors Online Application |
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Download Home Inspectors Insurance Application |
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Home Inspectors Claim Supplement |
| Insurance
Agents and Brokers Professional
Liability Insurance |
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Target Insurance Services Application |
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Target Insurance Services Insurance Agents EPLI
Application |
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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 |
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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 FORMS (EXCEPT FL, MO & NY,
BELOW) |
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Premium Indication Form |
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New Business Application (LP00H054) |
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Renewal Application (LP00H055) |
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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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The Hartford Lawyers Renewal Application (FL ONLY)
(LP09H055) |
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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) |
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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 |
| Miscellaneous
Professional Liability Insurance |
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MPL Application (MPL1001A) |
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MPL Claims Supplement (MPL2001s) |
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Auctioneers Supplement (MPL2030s) |
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Adjusters Supplement (MPL2003s) |
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Collection Agency/Credit Bureau Supplement (MPL2029s) |
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Consultants Supplement (MPL2006s) |
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Consultants, Management Supplement (MPL2007s) |
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Consultants, EDP/Information Systems Supplement
(MPL2008s) |
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Consultants, Insurance and Risk Management Supplement
(MPL2009s) |
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Consultants, Medical Administration Supplement
(MPL2021s) |
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Consultants, Telecommunications Supplement (MPL2010s) |
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Court Reporter Supplement (MPL2031s) |
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Media/Advertising Agency and Public Relations
Supplement (MPL2020s) |
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Photocopying Services Supplement (MPL2032s) |
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Photographer/Videographer Supplement (MPL2033s) |
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Telephone Answering/Message Service Supplement
(MPL2034s) |
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Third Party Administrators Supplement (MPL2025s) |
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Translators and Interpreters Supplement (MPL2035s) |
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Travel Agents Supplement (MPL2027s) |
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Typing Service Supplement (MPL2036s) |
| Package
for Professionals |
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Package Policy Application |
| PEOs / ASOs |
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Application for Professional Liability, Employee Practices
Liability,
Fiduciary and General Liability / Property Coverage |
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Crime |
| Staffing
Firms E & O / EPLI |
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National Casualty Application for Professional Liability and
EPLI (All states except IA, NM, NY and VT) |
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National Casualty App for Professional Liability and EPLI
(IA ONLY) |
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National Casualty App for Professional Liablity and EPLI (New
Mexico ONLY) |
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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 Renewal Application |
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National Casualty Common Policy Conditions |
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National Casualty Professional Liability Policy |
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National Casualty Employment Practices Liability Policy |
| Staffing
Firms Package Insurance for Staffing Firms |
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One Beacon App for Staffing Firms Office Package |
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Hannover App for Staffing Firms Office Package |
| Tax Preparers
Liability Insurance |
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Tax Preparers Professional Liability Application
NOTE: You can estimate your premium using
the Tables attached to the application.
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Supplemental Claim / Error Reporting Form |
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Credit Card Authorization Form |
