THE PROFESSIONAL LIABILITY COVERAGE PROVIDED BY THE POLICY IS ON A CLAIMS-MADE BASIS. COVERAGE IS LIMITED TO LOSS, INCLUDING DEFENSE EXPENSES RESULTING FROM CLAIMS FIRST MADE AGAINST THE INSURE DURING THE POLICY PERIOD. THERE IS NO COVERAGE UNDER THIS POLICY FOR CLAIMS THAT HAVE BEEN MADE PRIOR TO THE EFFECTIVE DATE LISTED IN ITEM 2. PLEASE READ THE POLICY CAREFULLY.
THE FINANCIAL INSTITUTION BOND COVERAGE AFFORDED UNDER THE POLICY EXTENDS ONLY TO LOSS FIRST DISCOVERED BY THE INSURED DURING THE BOND PERIOD AND REPORTED TO THE UNDERWRITER WITHIN THE PERIOD OF TIME REQUIRED BY THE POLICY. PLEASE READ THE BOND PORTION OF THE POLICY CAREFULLY.
For the purposes of this application, the term applicant means the parent company and all subsidiariesbeing proposed for coverage. Please provide the following information:
Input N/A in cells for which you do not have information
You will have an opportunity at the end of this form to upload and describe any additional documents you believe are needed.