Get Obenv Gl 050 (01 13) - Onebeacon Environmental - Application ...

Completing the OBENV GL 050 (01 13) application online is essential for contractors and consultants seeking insurance coverage. This guide will assist you in navigating each section of the application with clear instructions for filling it out accurately.

Follow the steps to complete the application effectively.

1. Click 'Get Form' button to obtain the form and open it in an appropriate online document editor.
2. Begin filling out Section I - Applicant Information. Provide the insured's name, street address, city, state, zip code, contact name, contact title, and telephone number. Indicate the type of insured (individual, corporation, LLC, etc.).
3. In Section II - Coverage Requested, select the desired types of coverage (e.g., general liability, contractors pollution), and specify the effective date, limits, and any deductibles.
4. Proceed to Section III - Expiring Coverage. Enter information about the expiring coverage, including carrier, limits, expiration date, premium, and any prior policy cancellation details.
5. Move to Section IV - Operations. Fill out the states or foreign countries where operations are conducted and provide the revenue classification by client type percentages. List the three largest projects performed in the last year.
6. For Section V - Vehicles, specify the types of vehicles used, their number, cargo, radius of operations, and check if there is a formal accident investigation program in place.
7. In Section VI - Risk Control, indicate if written employee health and safety plans, hazardous communication plans, and quality control plans are in place.
8. In Section VII - Claim History, answer yes or no regarding any claims made in the past five years and provide details if applicable.
9. Complete Section VIII - Declarations and Signatures. The application must be signed and dated by an authorized representative of your company.
10. Finally, review all entries for accuracy. Save changes, download, print, or share the completed form as needed.

Ensure your application is filled out completely and accurately by following these steps to successfully apply for insurance coverage online.