1.Print clearly or type
2.Answer all questions completely
3.If space is insufficient to answer any question
fully, continue on a separate sheet of your firm’s
letterhead indicating the number of the question.
4.If the answer to any question is ”none” state ”NONE”.
5.Application must be signed and dated by owner, partner or officer.
It is your duty to disclose all material facts to Company.
A material fact is one that is likely to influence an
Underwriter’s judgement and acceptance of your proposal.
If your proposal is a renewal, it should also include any
change in facts previously advised to Underwriters.
If you are in any doubt about facts considered material,
disclose them. FAILURE TO DISCLOSE could prejudice your
rights to recover in the event of a claim or allow
Underwriters to void the Policy.