Professional Investigator

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Coverage Details

Limits of Liability: $1,000,000 per occurrence/$3,000,000 aggregate

Professional Liability/Errors and Omissions: $1,000,000

Coverage for Business Use of Firearms: Included at no additional charge

Deductible: ZERO

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In most cases a proposal will be provided immediately or the same day as the application is received. Appropriate state filings for your license will be made upon receipt of payment.

In the case we have further questions to clarify answers we will contact you personally.

* Due to the very low rates of this program not all applicants may qualify for coverage.

Notice: Wisconsin Applicants - Due to a State regulatory issue a separate proposal will follow in 5 business days.

Member Information

Member Information

Mailing Address (If Different)

Are you licensed?

Do you provide Executive Protection services or training?

Do you charge a separately disclosed fee for investigative or security consulting that is not in conjunction with an ongoing investigation?

Are you currently an active member of NALI?

Do you have employees? (You will receive a quote in 48 hours if you have more than 1 full or part-time employee)

Do you hire subcontractors?

Do you carry concealed while not working?

Do you have former law enforcement experience?

Do you provide any security guard operations?

Claim/Loss history for past 5 years

Applicant is Corporation?

Operations

Operations

Please select which operations you are involved in and then enter the percentage of business done in that category. Total percentage should be 100%.

Low Hazard Operations

If all your operations are Low Hazard, you will receive a quote immediately.

Arson Investigations

Attorney Services

Background Checks

Insurance Investigations

Legal Records Check

Locate/Skip Tracing

Missing Person Search

Surveillance

Process Serving

Other

Complete

Mid Hazard Operations

If any of your operations are Mid Hazard, you will receive a quote in 48 hours.

Courier Service

Executive Protection

Finger Printing

Retail Store - Undercover

Polygraph Operations

Other

Complete

High Hazard Operations

If any of your operations are High Hazard, you will receive a quote in 48 hours.

Repossession

Bounty Hunting

Other

Complete

Current Insurance

Current Insurance Information

Do you currently have insurance?

Signature

Disclosure/Authorization/Declarations

WARNING NOTICE: Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement, is guilty of insurance fraud.

Acknowledgement, consent and waiver: Upon purchase coverage will be placed with Conifer Insurance company which is rated by A.M. Best Company as B++. The agent, employees, independent contractors, directors and officers make no representation as to the financial status of the insurance carrier. The undersigned requests and grants authority to place coverage as described above.

The undersigned declares that to the best of their knowledge and belief the statements set forth herein are true. The signing of this application does not bind the undersigned to purchase insurance, nor does review of the application bind the insurer to issue a policy. It is agreed, however, that this application shall be the basis of the contract should a policy be issued.

Typed name constitutes signature for application/disclosure purposes

I would like to:

...the Terrorism Risk Insurance Act -- if elected an additional and separately disclosed premium will be charged on your policy for $50 annually. Checking the rejection box constitutes a legal waiver of coverage in the same manner as a signature.