Architects & Engineers Online Application
Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.
Personal Information
Business Type *
State *
Do you currently have insurance? *
Effective Date *
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Current Policy End Date *
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Does the firm have in-house quality control procedures? *
Does the firm obtain continuing education for professional employees? *
Does the firm use written contracts on every project? *
If no standard contract, modified AIA/EJCDC contracts or letter agreements are used, are the reviewed by firm's legal counslet or liability implications prior to signing? *
Does the firm seek a limitation of liability clause in contracts with clients? *
Does the firm subcontract any professional services? *
Has Professional Liability (E&O) insurance ever been non-renewed or cancelled? *
Does the firm currently have E&O insurance in place? *
Does the firm currently have General Liability Insurance in place? *
Has any of the firm's principals or employees ever been the subject of disciplinary action by authorities as a result of their professional activities? *
Does the person or firm to be insured have knowledge or information of any act, error or omission which might reasonably be expected to give rise to a claim against him/her? *
Advise if your contracts contain these items: *
Hold down the Ctrl Key to make multiple selections.
Does any one contract or client represent more than 25% of your firm's annual work? *
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Important NoticeAny
submissions or payments made via this website do not constitute a
binding agreement to your policy or coverages. Changes and
payments to policies are not effective or binding until you, or any
party involved, receive official notice from either your insurance agent,
or your insurance company. If you have any questions, please feel free to
contact us. Per the terms of our
online privacy policy we will not resell your information to any third-party.
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