Get Form 2 Renewal Application - Encon Group Inc

This guide provides a clear and user-friendly approach to completing the Form 2 Renewal Application for Professional Liability Insurance with ENCON Group Inc. Following these steps will ensure that you fill out the application accurately and efficiently.

Follow the steps to complete the application form online.

1. Press the ‘Get Form’ button to obtain the application form and access it for editing.
2. Begin by filling in the 'Name of Brokerage' and 'Name of Broker Contact' fields with the appropriate details regarding your brokerage.
3. Provide your 'Brokerage Address', including the city and postal code.
4. For renewal purposes, input your 'Policy Number' and ISN (Client’s Number).
5. Under 'The Applicant' section, enter the 'Name of Applicant' and indicate if there has been any change in the firm’s name or address since the current policy began. If so, provide the necessary details.
6. Specify the total number of professional and technical personnel employed by your firm.
7. Indicate if there has been a change in the firm's ownership and provide details if applicable.
8. Select the limit and deductible required for your insurance coverage from the options provided.
9. Complete the 'Fee Breakdown' section by listing your fee income and anticipated fees for the next 12 months or the next fiscal year.
10. If applicable, indicate the percentage of gross fees derived from specific disciplines or project types related to engineers or architects.
11. Answer the questions regarding your firm's engagement in construction, manufacture, or fabrication, providing details if there are any affirmative responses.
12. In the declarations section, answer questions relating to any prior issues or disputes and provide detailed accounts as needed.
13. List any additional projects or joint ventures insured separately as required.
14. Review the consent section and acknowledge the information transmission procedures by signing and dating the form.

Complete your Form 2 Renewal Application online today for a seamless experience.