The Insurance Marketplace
Coverholder Questionnaire Survey
General Information
Agency Name:
Address:
City: State: Zip Code:
Individual responsible for the Lloyds Coverholder relationship:
Phone: Fax Number:
E-Mail:
Agency’s Lloyds Relationship
1. How many distinct underwriting authorities does the agency possess?
If more than 1, are any administered at a location other than the address shown above?
If “Yes”, please provide the full address and contact information for the other facility(ies):
2. Select the premium range that best describes the amount of business placed with Lloyds annually.
3. Does your Agency utilize a London broker or other intermediary to access Lloyds markets?
If “Yes”, please provide the appropriate contact information:
4. Does the Agency broker individual risks outside of its existing binding authorities?
If “yes”, how much brokered premiums were written last year?
5. Would your agency be interested in the opportunity to advertise in a Lloyds-specific edition of The Insurance
Marketplace and are you the contact person?

If not, would you please provide the contact information.
6. Please check what types of business are written through your Coverholder authorities ( please check all that apply on the following pages)

On the following pages, please check each type of insurance your company writes. Return to : The Insurance Marketplace, c/o Insurance Publishing Plus Corporation, Carolyn Pringle, Project Coordinator, 11690 Technology Drive, Carmel, Indiana 46032-5600. Fax: 317-816-1001.

For Office Use:
COVERAGES   COVERAGES  
Abortion Clinics Professional Liability 1 Abstracters Professional Liability 2
Accountants Professional Liability 3 Accreditation Programs Errors and Omissions 4
Actuaries Professional 5 Acupuncture Specialists Liability 6
Adjusters Errors and Omissions 7 Adoption Agencies Errors and Omissions 602
Adult Book Stores 570 Adult Entertainment Film Production 768
Advertising Agency Liability 8 Agent Market Intelligence Resources 787
Air Cargo Insurance 10 Aircraft Hull and Liability 11
Aircraft Products Liability 12 Aircraft Spare Parts 13
Airport Owners/Operators Liability 14 Airport Property And Aviation–Related Risks 665
Alcohol and Drug Rehabilitation Centers Liability 15 All–Terrain Vehicles 16
Alternative Energy Plants 17 Amateur Athletic Programs (Colleges and Clubs) 18
Ambulance Service Malpractice 19 Ambulatory Surgery Centers 686
American Expatriates 73 Amusement Devices – Coin Operated 20
Amusement Parks and Fairgrounds 21 Amusement Rides 22
Anesthetists Professional Liability 23 Animal Rescue Organizations 790
Anhydrous Ammonia Dealers Liability 24 Animal Farms (Exotic) 25
Animal Mortality 26 Animal Rides 28
Answering Services Errors and Omissions 29 Antique Aircraft Insurance 30
Antique and Classic Automobile Insurance 31 Antique and Classic Boats 32
Apartment Complexes 622 Appraisers Errors and Omissions 33
Aquaculture Operations 34 Arborists 804
Archery Clubs 35
Architects and Engineers Professional 36 Armored Car Services 37
Art Collections 687 Art Galleries 688
Asbestos Abatement Consultants Professional Liability 40 Asbestos Abatement Contractors 41
Asbestos and Lead Paint Abatement Bonds 42 Assisted Living Facilities 650
Associations Professional Liability 43 Association–Sponsored Mass Marketing Programs 44
Athletic Event Cancellation Insurance 689 Auction Houses 45
Auctioneers Errors and Omissions 46 Auto Dismantlers/Auto Recyclers 655
Auto Salvage Yards 690 Auto Service Centers 679
Automatic Car Wash Services 47 Automobile and Snowmobile Racing Liability (Spectator) 48
Automobile and Truck Rental – Daily 49 Automobile Dealers 50
Automobile Excess Liability 51 Automobile Insurance Plans Excess Liability 52
Automobile Insurance Plans Physical Damage 53 Automobile Leasing Contingent Liability 54
Automobile Leasing Contingent Physical Damage 55 Automobile Nonstandard Liability 56
Automobile Nonstandard Physical Damage 57 Automobile Physical Damage (Kits/Replicas/Custom Cars) 58
Automobile Repossessors Liability 59 Automobiles – Sport and High Performance Cars 60
Bailees Customers Insurance 61
Background Check Services 808 Bankers Blanket Bond – High Limits 62
Barber Shop Liability 63 Bars 64
Battered Persons Facilities 65 Beauty Shop Liability 66
Bed and Breakfast Inns 67 Bicycle Dealers 691
Bicycle Manufacturers 692 Billiard Parlors 572
Bingo Halls 573 Biotechnology Liability 693
Birds (Exotic) 69 Birth Centers Liability 70
Blood Banks Professional Liability 71 Bloodstock Insurance 72
Boat Dealers 694 Boat Manufacturers 695
Boatyards or Boat Repair and Servicing Operations 696 Bobtail or Deadheading Liability (Truckers) 75
Body Piercing Liability 76 Boiler and Machinery Coverage aka Equipment Breakdown Coverage 697
Bowling Centers 77 Bridge, Tunnel, and Elevated Highway Construction 698
Broadcast Stations 603 Brownfields Development Sites 604
Buffer Layer Liability 214 Builders Risk 79
Builders Risk – including Design Error 80 Building Equipment Erection and Installation 699
Bumbershoot Liability 81 Bungee Jumping Events 82
Burglar, Fire Alarm and Safety Equipment Company Liability 83 Bus Conversions 100
Buses 84 Business Legal Expense Insurance 85
Business Travel Accident 86 Cable TV Liability 700
Campers and Camper Vans 87 Campground Owners Liability 88
Canoe Trips/River Rafting 89 Capacity or Excess Property Insurance 90
Caribbean Property 568 Carnivals and Circuses 92
Carpentry Work Contractors 701 Casino/Gaming Risks 93
Catered Affair Cancellation Insurance 94 Caterers Errors and Omissions 95
Celebrity or SpokeSperson Death, Disability or Disgrace 103 Cemetery Professional Liability 96
Charter Boats 97 Charter Buses 98
Check Cashing Services 101 Chemical Manufacturers 102
Chemical Distributors 799 Chiropractors Professional Liability 104
Christmas Tree Lots 105 Churches 106
Clergy Professional Liability 108 Clinical Laboratory Malpractice 109
Coal Mining Operations 110 Coal Trucks Physical Damage 111
Coastal Properties 702 Coatings and Adhesives Manufacturers 605
Coin and Stamp Dealers Insurance 112 Coin–Operated Dry Cleaners and Laundries 113
Coinsurance Deficiency Coverage 114 Collateral Protection Insurance 115
Collectibles 232 Collection Agents Errors and Omissions 116
Commercial Autos–Miscellaneous and Special Purpose 117 Commercial Credit Insurance 118
Commercial Fishing Boats 119 Community Resort Associations 606
Community Service Agencies 121 Community Theaters 122
Computer Software Designers Errors and Omissions 123 Concrete Work Contractors 703
Condominium Directors and Officers Liability 124 Condominiums 125
Construction 762 Construction/Environmental Testing Laboratories 269
Consultants Professional Liability 127 Contractor Controlled Insurance Plan (CCIP) aka Contractor’s Wrap–Up 704
Contractors Design and Build (Project Managers) 128 Contractors Equipment Insurance 129
Contractors Pollution Liability 130 Contractual Bonus Insurance 675
Convenience Stores 638 Convention and Trade Show Insurance 132
Corporate or Employed Counsel Professional Liability 134 Cosmetic Manufacturers 135
Cosmetic Distributors 800 Country Club Insurance 136
Country Inns 682 County Clerks and Recorders Errors and Omissions 137
Courier and Messenger Services 138 Crane and Rigging Contractors 139
Crop Dusting and Spraying 141 Custom Harvesting Operations 143
Customized Vans 144 Customs Bonds 145
Customs Brokers and Freight Forwarders 142 Cyber Liability 362
Dance Schools 146 Dangerous Dog Liability Insurance 773
Day Care Centers – Adult 705 Day Care Centers – Children 149
Demolition Contractors Liability 150 Dental Hygienists Professional Liability 151
Dentists Professional Liability 152 Developmental Disabilities Facilities 435
Dieticians and Nutritionists Professional Liability 153 Difference in Conditions Insurance 154
Directors and Officers Liability 155 Directors and Officers Liability–Financial Institutions 156
Directors and Officers Liability–Nonprofit Organizations 157 Disc Jockey 807
Dive Shops/Instructors 579
Document Destruction Professional Liability 671 Dog Kennels 158
Drag Strip Liability (Spectators) 159 Dredging Contractors 642
Driveaway Collision Coverage 791 Driving Schools 160
Drug Testing Liability 581 Dump Trucks (Liability and Physical Damage) 161
Ear Piercing Liability 162 Earthquake and Earth Movement Insurance 163
Educational Institutions 662 Educators Professional Liability 164
Electric/Hybrid Vehicles 774 Electricians 706
Electronic Data Processing Equipment 707 Electronic Data Processors Errors and Omissions 708
Elevator Maintenance Contractors 165 Emergency Care Centers 810
Emergency Medical Technicians Errors and Omissions 166
Emergency Service Organizations 167 Employed Counsel Professional Liability 168
Employee Benefit Plans Liability 169 Employee Staffing Services 608
Employers Liability Coverage or Stop Gap Liability 636 Employment Agencies Errors and Omissions 170
Employment Temporary Services Agencies 172 Employment–Related Practices Liability 171
Engineers Professional aka Architects and Engineers Professional Liability 173 Environmental Consultants Errors and Omissions 174
Environmental Contractor Bonds 175 Environmental Impairment Liability 176
Environmental Remediation Contractors 609 Environmental Site Assessment 177
Equestrian Risks 178 Equipment and Tool Rental Services 179
Equipment Breakdown Coverage aka Boiler and Machinery Coverage 445 Equipment Leasing–Lessor Protection 180
Equity Protection Plan 764 Escrow Agents Errors and Omissions 181
Event Cancellation Insurance 483 Event Coordinators Errors and Omissions 709
Excavation Contractors 182 Excess and Surplus Lines Brokers and Managing General Agents Errors and Omissions 183
Excess FDIC Insurance 184 Excess Fidelity Bonds 185
Excess Flood Insurance 672 Excess Liability (Commercial) 186
Excess Liability (Over Self–insured Retention) 187 Excess Liability (Personal) 188
Excess Malpractice and Professional Liability 189 Excess Marine Liability 190
Excess Maritime Employers Liability 191 Excess Medical Stop Loss Coverage–Self–Insured Risks 192
Excess Property 652 Exercise and Physical Fitness Centers 193
Exterminators Liability 194 Farm Feed, Fertilizer, Seed and Supplies 711
Farm Implement Dealers 710 Farm Labor Contractors 775
Farmers Markets 712 Farms and Ranch Properties 196
Ferry Flight Insurance 763 Ferry Operators 792
Fertilizer Manufacturers 793 Film and TV Producers Errors and Omissions 197
Film and TV Producers Indemnity (Cast Insurance) 198 Film Schools Student Productions 769
Film/Movie Production Insurance 669 Financial Institutions 199
Financial Planners Errors and Omissions 200 Fine Arts Floaters (High Values) 201
Fire Protection Industry 574 Firearms Dealers and Distributors 202
Firefighters Accident, Death and Disability Coverage 203 Fireworks Displays–Contractors Risks 204
Fishing Contests 205 Flea Markets and Antique Shows 206
Flight Schools 803
Floor Laying and Other Floor Work Contractors 713 Food Rejection Insurance 207
Food Street Vendors 575 Food–Borne Illness–Loss of Income 451
Force Majeure Insurance 208 Forced–placed Foreclosure Property Insurance 209
Foreign Film Production 770 Forensic and Expert Witness Errors and Omissions 210
Foresters Errors and Omissions 586 Foundries 714
Franchise Sponsored Mass Marketing Programs 211 Fraternal Organizations 610
Fumigators 212 Furriers Coverages 213
GAP Insurance 611 Garage Liability–Repair and Service Operations 215
Garagekeepers Legal Liability 216 Garbage and Waste Haulers 217
General Contractor–Apartments and Condominiums 715 General Contractor–Industrial and Warehousing 716
General Contractor–Nonresidential Buildings – Not Industrial or Warehouse 717 Geothermal Energy Projects 220
Glass and Glazing Work Contractors 718 Global Medical Insurance 612
Golf Carts and Low Speed Vehicles (LSV) 776 Golf Course Architects 569
Golf Courses 222 Golf Driving Ranges 223
Grain Elevators 224 Green Building–Commercial 719
Green Building–Personal 720 Gun Collection Floaters 225
Gymnastics Liability 226 Hail Insurance on Growing Crops 227
Halfway Houses 228 Haunted Houses 229
Hazardous Industries Monoline Workers Compensation Insurance 649 Hazardous Material Haulers 230
Hazardous Waste Storage and Disposal Facilities 231 Health Foods Industry 576
Hearing Aid Service Errors and Omissions Liability 233 Heavy Construction Contractors 721
Helicopters 234 High Limit Disability 722
High Performance Boats 587 High Technology Exposures 235
High–Valued Commercial Property 653 High–Valued Personal Property 723
Highway and Street Construction Contractors 724 Historic Home Insurance 236
Hole–in–One Coverage 237 Home Business Insurance 725
Home Health Care Agencies 238 Home Inspection Errors and Omissions 621
Home Sellers Liability 588 Homebuilders Coverage 666
Homeowners Associations 589 Homeowners Policies–Low–Value and Nonstandard 239
Horse (Livestock) Major Medical and Surgery Insurance 243 Horse and Carriage Risks 240
Horse Breeders/Boarders 241 Horse Farms 242
Horticultural Risks 244 Hospice 777
Hospital Professional Liability 245 Hot Air Balloons (Liability and Physical Damage) 246
Hotels 247 Houseboats 248
Hunting and Fishing Clubs 250 Insurance Investigators Errors and Omissions 256
Intellectual Property Enforcement Coverage 257 Interior Designers Professional Liability 258
International Insurance 259 Internet Home (Web) Page Designers Errors and Omissions 614
Internet Liability 727 Internet Promotions 632
Investment Counselors Errors and Omissions 260 IRA or Keogh Plan Errors and Omissions 262
Irrigation Designers Errors and Omissions 263 Identity Theft Liability 778
Independent Pay Telephone Operators 627 Industrial Hygienists Errors and Omissions 251
Industry/Vendor Service Provider 726 Inland Marine 798
Installation Floaters – High–Value 252 Installment Sales Floater 253
Insurance Agents and Brokers Errors and Omissions 254 Insurance Company Financial Reporting 788
Insurance Company Professional Liability 255 Janitorial Services 264
Jewelers Block 267 Jewelry and Fur Floaters (High Values) 268
Kart (Go–Kart) Liability 270 Kidnap/Ransom Insurance 271
Kidney Dialysis Centers 272 Labor Unions Errors and Omissions 273
Land Improvement Contractors 274 Land Surveyors Professional Liability 275
Landfill Closure Performance Bonds 276 Landfills (Sanitary) 277
Landscape Architects Professional Liability 278 Law Enforcement Officers Liability 279
Lawn Care Services 280 Lawyers Professional Liability 281
Lead Paint Contamination 282 Lead Paint Removal Contractors 283
Lead-based Paint Renovation, Repair and Painting Coverage 765 Legal Expense Insurance 284
Lenders Environmental Liability Insurance 285 Libraries 286
Limited Partnership Liability–Partnership Managers 288 Limousine Services 289
Liquefied Petroleum Gas Dealers 290 Liquor Dealers and Stores 291
Liquor Liability (Host Coverage) 292 Liquor Liability and Dram Shop Act Liability 293
Livestock Haulers 294 Livestock Mortality 295
Livestock–Auction Market Form 296 Livestock–Commercial Feedlot Reporting Form 297
Locomotive Repair 802
Loggers Broad Form Property Damage Liability 298 Logging Operations 299
Long Haul Trucking Insurance 300 Managed Care Errors and Omissions 591
Manicurists Liability 301 Manufactured Home Haulers 302
Marina Operations 304 Marine Cargo Insurance 305
Marine Hull Insurance 306 Marine–related Professional Liability and Errors and Omissions Coverage 307
Maritime Liability 308 Marketing and Public Relations Firms Errors and Omissions 309
Marketing Consultants Errors and Omissions 310 Marriage and Family Counselors Professional Liability 311
Martial Arts Liability 312 Masonry, Stone Setting and Other Stonework Contractors 728
Massage Therapists Professional Liability 729 Material Handling Contractors 314
Media Liability 730 Media Promotions 634
Mediators/Arbitrators Errors and Omissions 315 Medical and Radiology Laboratories Professional Liability 316
Medical Billing Companies Errors and Omissions 615 Medical Diagnostic Centers Errors and Omissions 317
Medical Equipment Dealers 318 Medical Equipment Manufacturers 319
Medical Marijuana Crop Insurance 767 Medical Marijuana Dispensaries 766
Medical Personnel Service Agencies Professional Liability 320 Medical/Physical Rehabilitation Therapy 654
Medical Technology & Life Science Manufacturers and Distributors 786 Medical Tourism 785
MediSpas 677 Mental Health Clinics Professional Liability 321
Mergers and Acquisitions 640 Mexico Coverage 592
Micro Brewery/Brew Pubs 324 Military Housing Property Managers 674
Miniature Golf 323 Mining Operations and Equipment 326
Mobile Home Dealers–Physical Damage and Liability 327 Mobile Home Parks–Owners Liability 329
Mobilehome Personal Lines Coverage 731 Mortgage Bankers and Servicing Agents Errors and Omissions 331
Mortgage Brokers Errors and Omissions 593 Mortgage Impairment Insurance 332
Morticians Professional Liability 333 Motor Home Rentals 577
Motor Home/Travel Trailers (Commercial Use) 594 Motor Homes 334
Motor Scooter and Moped Rental Insurance 619 Motor Sports Liability 335
Motor Truck Cargo Insurance 336 Motorcycle Custom Manufacturing and Fabricating 667
Motorcycle Dealers 338 Motorcycle Insurance 337
Motorcycle Rental Insurance 629 Mountain Bikes/Dirt Bikes 339
Mountain Climbing/Mountaineering 340 Movie Boats 771
Moving Companies 578 Multiple Peril Crop Insurance 341
Municipal and Public Entities Liability 342 Museums 343
Musical Instrument Floaters 344 Musicians 779
Mutual Fund Managers Errors and Omissions 733 Mutual Funds Directors and Officers Coverage 732
Natural Gas Utilities 661 Negative Film Insurance 346
Nightclubs 660 Nonprofit Organizations 784
Notary Public Errors and Omissions 349 Nurse Practitioners 780
Nurse–Midwives Professional Liability 350 Nurseries 351
Nurses Professional Liability 352 Nursing Homes Professional Liability 353
Nutriceuticals 734 Oceanography Risks 354
Off–Course and Storage Coverage 630 Offshore Oil Drilling and Service Risks 355
Oil and Gas Deficiency Insurance–Guaranteed Performance 356 Oil Drilling Equipment 357
Oil Drilling Rigs and Well Servicing Equipment 358 Oil Jobbers/Petroleum Distributors 359
Oil Landmen and Lease Brokers Errors and Omissions 360 Oil Lease Property (Oil Field Equipment) 361
Oil Well Liability 363 Operators Extra Expense–Oil and Gas 364
Ophthalmologists Professional Liability 365 Opticians Professional Liability 366
Optometrists Professional Liability 367 Osteopaths Professional Liability 368
Outdoor Recreational Facilities 616 Outfitters and Guides Liability 369
Outpatient Clinics 370 Owner Controlled Insurance Plan (OCIP) aka Owner’s Wrap Up 735
Owners and Contractors Protective Liability (Monoline) 668 Paint Ball Game Centers 371
Paint Manufacturers 372 Painting–Exterior Contractors 737
Painting–Interior and Paper Hanging Contractors 736 Paralegal Professional 373
Paramedics Professional Liability 374 Parasailing Operators 375
Parking Garages and Parking Lots 376 Patent Infringement 378
Pawnshops 379 Pension Consultants' Professionals 738
Personal Trainers Professional Liability 595 Personal Watercraft 266
Pet Accident and Health Insurance 380 Pet Grooming Liability 382
Pet Mortality Insurance 381 Petrochemical Risks 383
Pharmacists Professional Liability (Employed) 384 Phone Card Promotions 633
Photographers Errors and Omissions 385 Physicians Assistants Professional Liability 386
Physicians Professional Liability 387 Physiotherapists Professional Liability 388
Pier and Dock Contractors 794 Pipeline Insurance 389
Pizza Delivery Services 390 Planners Professional Liability 391
Plastering, Drywall, Acoustical and Insulation Work Contractors 739 Plumbing, Heating and Air Conditioning Contractors 740
Podiatrists Professional Liability 580 Political Action Committees Liability 392
Political Risk Insurance 393 Pollution Cleanup Indemnity–Marine Operations 741
Pollution Cleanup Indemnity–Non–marine Operations 742 Polygraph Operators Professional Liability 395
Poultry Insurance 396 Power Distribution–Electric Utilities 670
Power/Pressure Washing Contractors 795 Precious Metal Dealers 397
Premium Finance Companies Errors and Omissions 398 Printers Errors and Omissions 399
Privacy Insurance 678 Private Corrections Industry 400
Prize Indemnification Insurance 401 Product Tampering Insurance 402
Product Warranty Inefficacy Coverage 403 Product Warranty Insurance 404
Products Liability–Hazardous or New Products 407 Products Liability–Retroactive 406
Products Recall Expense Insurance 408 Professional Athletes 409
Professional Employers Organizations (PEOs) 637 Professional Insurance Industry Organizations 676
Property Management Errors and Omissions 410 Prosthetic and Orthotic Patient Care Errors and Omissions 617
Protection and Indemnity Insurance (Marine) 411 Psychiatrists Professional Liability 412
Psychologists Professional Liability 413 Public Housing Authorities Liability 415
Public Officials Liability 416 Public Utilities Insurance 417
Publishers Liability 418 Quick Lubes 647
Race Car Drivers (AD&D Coverage) 419 Racetracks–Animals 743
Racetracks–Vehicles 744 Radiologists Professional Liability 420
Radon Mitigation Consultants and Contractors 421 Railroad Property and Liability Coverages 422
Railroad Protective Liability 423 Real Estate Agents Errors and Omissions 425
Recreational Clubs Liability 426 Recreational Trail Operators Liability 427
Recreational Vehicle Dealers 428 Recycling Centers 429
Registered Representatives (Mutual Funds) Errors and Omissions 430 Rehabilitation Projects 431
Research Organizations Errors and Omissions 582 Residential Remodeling Contractors 745
Residual Value Insurance–Autos, Equipment, etc. 432 Resorts 433
Restaurants 434 Retail Fireworks Sales 639
Riding Academies/Hunt Clubs 437 Risk Retention Group and Purchase Group Programs 438
River and Harbor Craft 439 River Boat Gambling Casinos 583
Rock Concerts 440 Rodeos and Horse Shows 441
Roofing, Siding and Sheet Metal Work Contractors 442 Saddle Animal Liability 443
Sales Redemption Campaigns 446 Sand and Gravel Haulers 448
Scaffolding Risks 450 School Bus Contractors 781
Security Guard Services and Detective Agencies Liability 454 Seed Merchants Errors and Omissions 455
Self–Insurance Retention (SIR) Programs 457 Self–Storage Risks 456
Senior Housing 746 Sex Abuse/Molestation Liability 459
Ship Charterers Legal Liability 461 Ship Repairers Legal Liability 462
Shooting Range Liability (Trap and Skeet) 463 Shopping Centers–Malls 747
Shopping Centers–Strip 748 Short Line or Tourist Railroad Packages 465
Short Term Productions 772 Single Interest Insurance 466
Skateboard Parks Liability 468 Skating Centers (Roller and Ice) 469
Ski Operations 470 Slaughterhouses 806
Snowmobiles (Commercial and Rental) 472
Snow-removal Contractors 796 Snowmobiles (Personal Use) 473
Social Services Agencies 474 Social Workers and Welfare Workers Errors and Omissions 475
Soil Engineers Professional Liability 476 Solar Energy Products and Installers 477
Solar–Heated Risks 478 Space Industry Insurance 749
Special Events Liability 479 Special Risks Accident Insurance 481
Sport Fishing Boats 482 Sporting Events Sponsors 750
Sporting Goods and Equipment Manufacturers 485 Sports Camps 484
Sports Memorabilia (Baseball Cards, Etc.) 486 Sports Promotions Coverage 651
Stevedore Legal Liability 487 Stockbrokers Errors and Omissions 488
Stop Loss Excess Aggregate 489 Storage Tank Testing/Installation/Removal 490
Storage Tanks–Aboveground 491 Structural Steel Erection Contractors 751
Student Accident Insurance 492 Student Housing 681
Subsidized Housing 752 Substandard and Low–Valued Dwelling Fire Insurance 493
Substandard Businessowners Policy (BOP) 753 Substandard Crime Insurance 494
Substandard Fire (Commercial) 495 Substandard General Liability 496
Substandard Malpractice and Professional Liability 498 Substandard Package Policies 754
Summer Camps 499 Summer Recreational Activities 500
Supermarkets 501 Surety Bonds–Miscellaneous and Special Risks 502
Surety Bonds–Small Contractors 503 Surgeons Professional Liability 504
Swimming Pool Contractors 505 Talent Agencies Errors and Omissions 598
Tanning Salons Liability 507 Tattoo Parlors 585
Tattoo Removal Liability 599 Tax Preparers Errors and Omissions 508
Taxicabs 509 Team Sports Medical Accident Coverage 510
Tennis and Racquetball Centers (Indoor) 512 Terrazzo, Tile, Marble and Mosaic Work Contractors 755
Terrorism Coverage 756 Theater Groups 809
Third–Party Claims Administrators (TPA) Errors and Omissions 514
Third–Party Fidelity Coverage 515 Timeshare/Interval Ownership Operations 658
Tire Retreaders 516 Title Insurance Agents Errors and Omissions 517
Tour Operators Errors and Omissions 518 Tow Trucks Insurance 519
Trailer Manufacturers Product Liability 761 Transfer Agents Errors and Omissions 523
Transportation Brokers–Contingent Cargo Insurance 524 Travel Agents Errors and Omissions 525
Travel Trailers and Campers–Personal 526 Travel Trailer Rentals Insurance 600
Tree Service Liability 527 Trip Cancellation Insurance (TCI) 757
Truck Servicing Operations 801
Truckers Occupational Accident/Workers Compensation 529 Trucking Operations 758
Trust Department Errors and Omissions 530 Trustees and Fiduciaries Errors and Omissions–Pension, Welfare and Employee Benefit Funds 532
Umbrella Liability–Commercial 534 Umbrella Liability–Over Claims–Made Primary 535
Umbrella Liability–Personal 536 Unauthorized Computer Access Coverage 537
Underground Storage Tank (UST) Pollution Liability 538 Underwriting Guides and Checklists 789
United States Longshore and Harbor Workers Compensation Act 635 Used Car Dealers Insurance 540
Utility Systems Construction 759 Vacant Properties Insurance 542
Vanpool Operators 797 Vacation Income Property 680
Vacation Weather Cancellation Insurance 601 Valet Parking Services 782
Valued Business Interruption Insurance 543 Vending Machines Floater 544
Vessel Pollution 643 Veterinarians Professional Liability 545
Video Games/Arcade Centers 546 Video Rental Stores 547
War Risk Accident Insurance 548 Warehouse Operators Legal Liability 549
Water and Sewer Entities 783 Water Irrigation/Reclamation Districts Insurance 551
Water Parks Insurance 553 Water Ski Schools Liability 552
Water Sport Rentals 554 Water Well Contractors 657
Weather Insurance 555 Workers Compensation Self–Insurers Bonds 561
Wrap-Up 760 Wharfingers Legal Liability 556
Wind farms 805
Windstorm (Monoline) Coverage 644 Wineries 557
Winter Recreational Activities 558 Woodworking and Lumber Operations 559
Workers Compensation 684 Workers Compensation Excess Insurance 560
Yachts and Pleasure Boats 565 Youth Group Homes 618
Youth Outreach Programs 566 Youth Sports Programs–Accidental Death and Disability 567
Zoos and Zoological Societies 648
Type name and title (Officer of Company) Company
Signature Mailing Address
City / State / Zip
Please return to: The Insurance Marketplace
Insurance Publishing Plus Corporation
11690 Technology Drive, Carmel, Indiana 46032-5600
Phone: 800-211-3257 or 317-843-2523 Fax: 317-816-1001
Email: carolynp@roughnotes.com
DEADLINE OCTOBER 30, 2014