Professional Liability

Tel. 1-800-462-2604

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Professional Liability
Professional liability insurance protects against claims for damages the policyholder becomes legally obligated to pay to a client as a result of an error or omission in the professional services provided to the client. Generally speaking, professional liability can be broken down into three product lines: Directors & Officers Liability Errors & Omissions Liability Employment Practices Liability Ancona Insurance Services is dedicated to placing professional liability coverage in all three product lines on behalf of small and medium size retail agents and directly to the professional. Ancona Insurance Services areas of expertise include:
Accountants Architects & Engineers Directors & Officers of corporations and non-profit organizations Employment Practices Liability Environmental Fiduciary Financial Firms eneral Liability & Products Insurance Agents & Brokers Lawyers Media Coverage Medical Services Other Professionals Real Estate & Property Management Public Officials School Boards
For more information and/or applications on each of the above product areas, click on the appropriate product link

Professional Liability Insurance

- Customer Information -

Name		DBA: (Doing Business As)
Address		City
State		Zip Code
Contact Phone		E-mail
Branch Offices:	Yes No	Ownership type:

- About Your Business-

Estimated Yearly Gross Revenue:
Current Year:		Previous Year:
Number Of Employee:
Full:		Part time:
Seasonal:		Total:
Detailed Description of Professional Activities? And revenue from each activity		Web address:
Do you have Professional Liability:	Yes No	If yes, name of the Carrier:
Premium paid last Year:		Have you had any claims in the last 5 yrs:	Yes No
Are there any claims pending that you may have knowledge about at this time :	Yes No	Please give detailed description and amount paid out on your behalf:

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