Get Chubb Pro E O

Completing the Chubb Pro E O application is a crucial step for obtaining coverage from Executive Risk Indemnity Inc. This guide provides clear and concise instructions to help you navigate each section of the form with confidence.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor for filling out.
2. Begin with the general information section. Fill in the name of the applicant and the address of the applicant’s principal office, including city, state, zip code, and telephone number.
3. Provide the web address of the applicant and describe the nature of the business, including the principal products and services offered, mentioning any subsidiaries if applicable.
4. Indicate if the applicant is engaged in any other business or profession. If yes, provide an explanation and estimated revenues.
5. Specify the type of organization of the applicant, selecting from the provided options and indicating the year established. If less than three years, attach resumes or biographies of all principals.
6. Provide the total annual gross revenues for the past three years and the projected revenue for the current year, entering the amounts in the designated fields.
7. List the applicant’s five largest jobs/projects from the past three years, including client names, services provided, and gross revenues for each.
8. Complete any additional questions related to control or ownership of other firms, owners of more than 5% of the organization, and any changes in the applicant’s name or ownership.
9. Address all questions regarding the applicant’s prior claims, professional liability insurance, and knowledge of any potential claims.
10. Fill in the requested limits of liability and retention, along with the policy period and any prior acts coverage requested.
11. Final sections require signatures from the authorized representatives. Ensure all necessary signatures are obtained before submission.
12. Once completed, make sure to save changes, and download or print your filled-out form for your records or submission.

Complete your Chubb Pro E O application online today.