Commercial Errors & Omissions Expanded Form

Is the applicant engaged in any business or profession other than as a described in the previous question?

Does the applicant provide any services over the internet?

Does the applicant derive more than 10% of revenues from state county or local government?

Are any of the previously described business activities provided to such business enterprise?

Does any person acting on behalf of the applicant also act as a director officer or other executive for any client organization?

Does the business have written procedures in place regarding equal opportunity employment?

Does the business have written procedures in place regarding anti-discrimination?

Does the business have written procedures in place regarding anti-sexual harassment?

During the past three years, has the business or any applicant in any capacity, been involved in an EEOC, NLRB or other similar administrative proceeding?

During the past three years, has the business or any applicant in any capacity, been involved in an employment-related civil suit?

Does the business have established written polices or procedures outlining employee conduct when dealing with third parties, including non-discrimination and non-harassment statements?

Does the business have established written polices or procedures for responding to complaints of harassment, discrimination or civil rights violations from third parties?

Has the business ever had any action or civil suit brought against it by a customer, client or third party alleging harassment, discrimination, or civil rights violations?

Does the business handle any investment decisions in-house?

Does each of the business's employee benefit plans conform to the standards of eligibility, participation, vesting and other provisions or ERISA?

Has any fiduciary been accused of, found guilty of, or held liable for a breach or trust?

Has any fiduciary been convicted of criminal conduct?

Has there been any assessment of fees, fines or penalties against any of the business's employee benefit plans under any voluntary compliance resolution program or similar voluntary settlement program administered by the IRS, DOL or other government authority?

Does the business maintain a list of authorized vendors?

Does the business verify invoices against a corresponding purchase order, receiving report, and the authorized master vendor list prior to issuing payment?

Does the business allow the employees who reconcile the monthly bank statements to also sign checks or handle deposits?

Does the applicant perform pre-employment reference checks for all its potential employees?

Does the applicant’s business involve subcontracting any work to others?

Does the application require evidence of professional liability insurance from subcontractors?

Does the applicant own any subsidiaries or have any 50% or more owned joint ventures under management control?

In the next 12 months (or during the past 24 months) is the applicant contemplating (or has the applicant completed or been in the process of completing) any actual or proposed merger, acquisition, or divestiture?

Does the applicant currently purchase professional liability or miscellaneous Errors & Omissions insurance?

Please select the coverage type the applicant would like.

Does the applicant wish to purchase Prior Acts coverage?

Does the applicant want Prior Acts coverage to end at the expiration of this policy?

Does the applicant wish to purchase Consent to Settle coverage?

Does the applicant currently purchase media liability insurance?

Does the applicant currently purchase general liability insurance?

Please select the type of policy the applicant has.