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AGENCY CUSTOMER ID: DATE (MM/DD/YYY) UMBRELLA / EXCESS SECTION IMPORTANT If CLAIMS MADE is checked in the POLICY INFORMATION section below, this is an application for a claim made policy. CARRIER
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How to fill out blank acordform131-umbrellaapplication
How to fill out blank acordform131-umbrellaapplication:
01
Start by entering the date on the top-right corner of the form. Use the format mm/dd/yyyy.
02
In the "Insured Name" section, enter the full legal name of the policyholder or the company that needs umbrella insurance coverage.
03
Below the insured name, provide the complete mailing address including street, city, state, and zip code.
04
In the "Contact Name" field, enter the name of the primary contact person for any inquiries related to the insurance policy.
05
Indicate the phone number and email address of the contact person in the corresponding fields.
06
The "Producer's Name and Address" section requires the information of the insurance agent or broker who is handling the policy. Provide their name, agency name, address, phone number, and email address.
07
Moving on to the "Description of Operations/Locations/Vehicles/Exposures/Special Items", you need to provide a detailed description of the business operations, locations, vehicles, exposures, or any special items that need umbrella coverage. Give as much information as possible to accurately represent the insured's specific needs.
08
In the "Coverage Limits" section, select the desired coverage limits for the policy. This determines the maximum amount the insurance company will pay out for covered claims.
09
In the "Claims Made" section, indicate whether the liability coverage is provided on a claims-made basis. Choose either "Yes" or "No" by marking the appropriate checkbox.
10
The "Premium" section requires you to fill in the premium amount agreed upon for the policy. Consult with your insurance agent or broker to determine the accurate premium.
11
At the bottom of the form, the policyholder or authorized representative should sign and date the document.
12
Finally, submit the completed acordform131-umbrellaapplication to the insurance agent or broker for processing.
Who needs blank acordform131-umbrellaapplication?
01
Businesses that want to obtain additional liability coverage beyond what their primary insurance policy provides may need to fill out the blank acordform131-umbrellaapplication.
02
Individuals or organizations seeking to protect themselves against substantial liability claims may also require this form to apply for umbrella insurance coverage.
03
Insurance agents or brokers who handle umbrella insurance policies may utilize this form when assisting their clients in applying for such coverage.
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