The Insurance Marketplace ® Questionnaire

2018 EDITION, DECEMBER 2017

Name of Company, Underwriting Group, Risk Retention Group, Specialty Broker, or Program Administrator (as you wish your listing to appear)
Company:
Address:
City: State/Province: Zip: Country:
Telephone: Toll Free: Fax:
Email:
URL:
This is your questionnaire for coverage listings in the 2018 National Market Directory.
As you complete your questionnaire, please check the appropriate column - Program Administrator/Underwriting Manager or Other Market Sources - for each coverage that you want to appear under. We will make the distinction when we list you.
Except for ADVERTISERS, whose LISTINGS ARE FREE, there is a charge based on the number of categories. Please consult the fee schedule at the end of questionaire.
If you choose to advertise, even regionally, you are eligible to appear with your coverages in the National Market Directory, even though you might not otherwise qualify for such listings. For details, please call our advertising department at 1-800-428-4384 or 317-582-1600, FAX 317-816-1000 or e-mail Eric Hall at ehall@roughnotes.com or Dick Schoeninger at dick@roughnotes.com

Listing Criteria and Marketing Information

The criteria for listing an insurer, managing underwriter, managing general agent or excess and surplus lines broker in the 2018 edition of The Insurance Marketplace® are:

Insurors - licensed in one or more states with net premiums (2016) of $2 million (U.S.) or more.

Managing Underwriters - represent one or more companies for specific classes or for all property and casualty classes and operate in all states in which the company operates.

Managing General Agents - represent companies and operate in one of The Insurance Marketplace® geographical territories.

Excess and Surplus Lines Brokers - have binding contracts with Lloyd's or domestic and alien non-admitted insurers.

1. Indicate the category which best describes your organization:
     
       
     
2. Please answer the following questions related to marketing:
  A. List any additional nonstandard or unusual forms of insurance (not listed in the questionnaire) which your organization writes:
 
  B. List all states in which your organization is operating through agents on an admitted basis:
 
  C. List all states in which you are operating on a non-admitted basis:
 
  D. Countries:
 
3. If you are an Insurance Company, how are your special facilities marketed:
       
         
4. If you operate as a Program Administrator, Risk Retention Group, Managing Underwriter, MGA or E&S Broker, are your facilities available to:

On the following pages, please check each type of insurance your company writes and whether you offer the coverage as a program administrator/ underwriting manager, or as another market source. Before returning this questionnaire please answer the marketing questions on page one. We also request that a company or individual in charge of the Excess and Surplus or Specialty Lines Department sign the questionnaire . Return to : The Insurance Marketplace, c/o The Rough Notes Company, Carolyn Pringle, Project Coordinator, P.O. Box 1990, Carmel, Indiana 46032-4990. Fax: 317-816-1000.

Please check only one, Program Administrator or Other Market Sources.
For Office Use: Written by Written by
COVERAGES Prg. Adm.
/Undwrtg. Mgr
  Other Mkt. Sources COVERAGES Prg. Adm.
/Undwrtg. Mgr
  Other Mkt. Sources
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 Agritainment/Agritourism 823
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 Anhydrous Ammonia Dealers Liability 24
Animal Farms (Exotic) 25 Animal Mortality 26
Animal Rescue Organizations 790 Animal Rides 28
Animal Shelter 811 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 Boat Rental 812
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
Charter Schools 824 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
Court Reporter 825 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 Drone (Unmanned Aerial Vehicle) 820
Drug Testing Liability 581 Dump Trucks (Liability and Physical Damage) 161
Durable Medical Equipment Distributing 826 Durable Medical Equipment Manufacturing 828
Durable Medical Equipment Rental 827 Ear Piercing Liability 162
Earthquake and Earth Movement Insurance 163 E-cigarette Stores 813
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 Female Reproductive Services 833
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 Trucks 814 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 Door Installation 815
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
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
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 s 262 Irrigation Designers Errors and Omissions 263
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 Lobbyist 816
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 Marine War Risk 817
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 Device Distributing 832
Medical Device Manufacturing 831 Medical Diagnostic Centers Errors and Omissions 317
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
Private Food 822 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 Rideshare Auto Insurance 818
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 Sperm Banks 819
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 Toy Manufacturers 830
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
Welders 821 Welding Supplies Sales and Distribution 829
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

ONLY IMP ADVERTISERS' listings are FREE!

Please check only one - Program Administrator or Other Market Sources.

A SIGNED SIGNATURE PAGE MUST ACCOMPANY THIS QUESTIONNAIRE.

IMP NON-ADVERTISER LISTING CHARGES ARE:

(In U.S. Dollars)

Charges Based On Number Of Listings Checked

1-5   Listings   $290   (minimum charges)   101-199   Listings   $1,435
6-15   Listings   $395       200-299   Listings   $1,590
16-30   Listings   $580       300-349   Listings   $1,790
31-50   Listings   $725       350-399   Listings   $1,890
51-75   Listings   $905       400-500   Listings   $1,965
76-100   Listings   $1,030       500 Plus   Listings   $2,890

CHARGES INCLUDE PUBLICATION IN PRINT AND INTERNET VERSIONS

  WE HAVE CHECKED CATEGORIES FOR A TOTAL OF $
 
 
 

PLEASE RETAIN A COPY FOR YOUR RECORDS

A signature verifying the choice of listings and authorizing the charges is required.

I authorize the publishers of The Insurance Marketplace® to publish our listings and if not prepaid with this questionnaire, agree to submit a listing payment in accord with the schedule above.

     
  Type name and title (Officer of Company)   Company  
     
  Signature   Mailing Address  
       
      City / State / Zip  

For your coverages to be included in the 2018 Edition of The Insurance Marketplace®, we must have your questionnaire by August 25, 2017!

Please return to: The Insurance Marketplace

The Rough Notes Company, Inc., P.O. Box 1990, Carmel, IN 46032-4990

Phone: 800-428-4384 or Fax: 317-816-1000 Email: carolynp@roughnotes.com

DEADLINE AUGUST 25TH, 2017

PLEASE RETAIN A COPY FOR YOUR RECORDS

ANY UPDATES TO PREVIOUSLY RETURNED QUESTIONNAIRES MUST BE RECEIVED BY 8/25/2017