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____________________________, a stock insurance company, herein called the Insurer DECEPTION FRAUD (SOCIAL ENGINEERING) SUPPLEMENTAL APPLICATION FOR FINANCIAL INSTITUTIONS BONDS Name of Applicant:________________________________________ I. FUNDS TRANSFER CONTROLS 1. Does the Applicant maintain a current list of employees authorized to transfer funds? yes no 2. Does the Applicant [...]

Commercial Vessel Hull and P&I Application Owner Name:       Mailing Address       Name of Vessel       Type of Vessel       Describe operation and use of vessel       Loss, if any, payable to Insured and       HULL: Year built       Built by       Home port.       Official No.       Registered Length       Width [...]

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NAV APL SS SUPP (07 11) Page 1 of 2 NAVIGATORS INSURANCE COMPANY ACCOUNTANTS PROFESSIONAL LIABILITY SUPPLEMENT 6 – SECURITIES SUPPLEMENT Applicant: Please complete only if your firm provides services that fall under the 1933 or 1934 Securities Acts. 1. Complete the following table for each of the firm’s SEC practitioners’ experience: Individual [...]

AM 00 H003 00 0315 © 2015, The Hartford Page 1 of 31 THE HARTFORD ASSET MANAGEMENT CHOICE sm POLICY Table of Contents Section I: Insuring Agreements .............................................................................Page 2 Section II: Definitions .............................................................................................Page 4 Section III: Coverage [...]

CA 00 H153 01 0315 © 2015, The Hartford Page 1 of 6 ___________________________________________, a stock insurance company, herein called the Insurer THE HARTFORD CRIMESHIELDSM ADVANCED POLICY BOND – SMALL BUSINESS APPLICATION FOR COMMERCIAL, NON PROFIT AND GOVERNMENTAL ENTITIES AGENCY NAME: _________________________________________ HARTFORD AGENCY CODE: __________ A. GENERAL [...]

AM 00 H128 00 0523 © 2023, The Hartford Page 1 of 4 CYBER AND THEFT COVERAGE - SUPPLEMENTAL APPLICATION FOR ASSET MANAGEMENT CHOICE Name of Applicant:________________________________________ All Applicants using this supplemental application must complete the GENERAL QUESTIONS. Please also review the coverage(s) being applied for with an insurance producer and complete the [...]

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A EMPLOYMENT PRACTICES LIABILITY POLICY POLICY NUMBER ____________________ The Hartford Twin City Fire Insurance Company Indianapolis, Indiana NOTICE: THIS IS A CLAIMS-MADE AND REPORTED POLICY. EXCEPT AS MAY BE OTHERWISE PROVIDED HEREIN, THE COVERAGE OF THIS POLICY IS LIMITED TO LIABILITY FOR WRONGFUL ACTS FOR WHICH CLAIMS ARE FIRST MADE WHILE THE POLICY IS IN FORCE AND WHICH ARE [...]