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HR 00 H119 00 0719 © 2019, The Hartford Page 1 of 5 (insert name of insurance company) Name of Insurance Company to which Application is made RENEWAL APPLICATION FOR EMPLOYMENT PRACTICES LIABILITY NOTICE: IF ISSUED, THIS POLICY PROVIDES CLAIMS MADE AND REPORTED COVERAGE. EXCEPT AS OTHERWISE SPECIFIED HEREIN, COVERAGE APPLIES ONLY TO CLAIMS FIRST MADE AGAINST THE INSUREDS DURING THE [...]

Ocean Marine Public Entity Application 1 Use this form to gather underwriting information for marine operations. Complete only the sections that apply to the requested coverages. Public Entity/Organization Details • Entity Classification: Specify type of entity (city, township, county, university, state agency, port authority, etc.) • Mission/Purpose of Marine Department • Departments [...]

Although ERISA has been in existence since 1974, some business owners may not be aware that certain financial institutions, including investment advisers, who handle ERISA plan assets, must obtain a bond in order to comply with Section 412 of ERISA.1 IS YOUR FIRM COMPLIANT? Section 412 of ERISA requires every person who handles funds or other property of an ERISA plan to be bonded. [...]

AM 00 H002 00 0315 2015, The Hartford Page 1 of 3 ___________________________, a stock insurance company, herein called the Insurer THE HARTFORD ASSET MANAGEMENT CHOICE sm POLICY DECLARATIONS Policy Number: NOTICE: THIS POLICY PROVIDES CLAIMS MADE COVERAGE. EXCEPT AS OTHERWISE SPECIFIED HEREIN, COVERAGE APPLIES ONLY TO A CLAIM FIRST MADE AGAINST THE INSUREDS DURING THE POLICY PERIOD OR [...]

NAV APL SI SUPP (07 11) Page 1 of 1 NAVIGATORS INSURANCE COMPANY ACCOUNTANTS PROFESSIONAL LIABILITY SUPPLEMENT 2 – SUPPLEMENTAL INFORMATION FORM Applicant:____________________________________________________________________________ I understand that the information submitted in [...]

OCEAN MARINE THE HARTFORD MARINE PACKAGE APPLICATION 1 The Buck’s Got Your Back® APPLICANT INFORMATION Name: Address: Ctiy/State/Zip: Survey Contact/Phone: Individual Partnership Corporation Other Producer's Name: Address: Ctiy/State/Zip: GENERAL INFORMATION 1. List and describe any business owned, operated, or managed by the [...]

Asia Insurance Co., Ltd. Head Office: 16/F, Worldwide House, 19 Des Voeux Road Central, Hong Kong Business Centre: 8/F, 118 Connaught Road West, Sheung Wan, Hong Kong Tel: +852 3606 9933 Fax.: +852 2810 0218 Email: mailbox@afh.hk Website: http://www.asiainsurance.hk EMPLOYEES’ COMPENSATION INSURANCE PROPOSAL FORM 僱 員 賠 償 保 險 投 保 書 (Please complete this Form in BLOCK [...]

1 / 5 Why this form? Financial institutions have to comply with financial supervision regulations and legislation, such as the Money Laundering and Terrorist Financing (Prevention) Act, the Financial Supervision Act and the sanctions regulations and legislation, requiring us to conduct a customer due diligence review prior to concluding a contract. Without a customer due diligence review [...]

BROAD, INNOVATIVE REGULATORY COVERAGE FOR THE ENTITY Policy highlights include: • Full limit coverage for regulatory investigations of the entity concurrent with a related securities claim (with no insured person co-defendant requirement). • SEC cooperation credit coverage for the entity and insured persons for self-reporting any actual or alleged regulatory violations. • Carveback [...]

SAFE IS THE WAY! COLORING SHEET 1 THE HARTFORD’S JUNIOR FIRE MARSHAL® PROGRAM Listen Don’t Touch LEARN HOW TO PROTECT YOURSELF FROM FIRE Don’t Touch COLORING SHEET 2 LEARN ABOUT FIREFIGHTERS Firefighter Firehouse Dog THE HARTFORD’S JUNIOR FIRE MARSHAL® PROGRAM SAFE IS THE WAY! SAFE IS THE WAY! COLORING SHEET 3 THE HARTFORD’S JUNIOR FIRE MARSHAL® PROGRAM LEARN ABOUT [...]