Transcription of Contractors Professional Liability Application - Huntersure
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Contractors Professional Liability Application - Huntersure
Huntersure LLC Contractors Professional Liability & pollution Liability Application (03/17) Page 1 of 12 Contractors Professional Liability Application THE INSURANCE FOR WHICH YOU ARE APPLYING IS WRITTEN ON A CLAIMS MADE AND REPORTED POLICY. ONLY CLAIMS FIRST MADE AGAINST THE INSURED AND REPORTED TO THE COMPANY DURING THE PERIOD OF INSURANCE ARE COVERED, SUBJECT TO POLICY TERMS AND CONDITIONS. THE LIMIT OF Liability TO PAY LOSS WILL BE REDUCED BY, AND MAY BE EXHAUSTED BY CLAIMS EXPENSES GENERAL 1. Name of applicant: _____ 2. Address_____ City_____ County_____ State_____ ZIP_____ Phone_____ Contact_____ 3. Website_____ 4. Year established_____ 5. Legal structure Corporation Limited Liability partnership Partnership Sole proprietorship Professional corporation Joint venture Limited Liability corporation Other (please specify) 6.
Contractors Professional Liability Application ... Civil engineering % Nuclear engineering % ... Has the applicant ever been named a Potentially Responsible Party (PRP) in association with a non-owned disposal site? If yes, please provide full details in addendum to the application .
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