AMC Liability Application

 
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APPRAISAL MANAGEMENT COMPANY
PROFESSIONAL LIABILITY APPLICATION

NOTICE: THIS INSURANCE IS WRITTEN ON A CLAIMS MADE AND REPORTED BASIS AND ONLY APPLIES TO CLAIMS FIRST MADE AGAINST THE INSURED AND REPORTED IN WRITING TO THE COMPANY DURING THE POLICY PERIOD. NO COVERAGE EXISTS FOR CLAIMS FIRST MADE AGAINST THE INSURED AFTER THE END OF THE POLICY PERIOD UNLESS, AND TO THE EXTENT, A BASIC OR EXTENDED REPORTING PERIOD APPLIES.

NOTICE: DEFENSE EXPENSES ARE INCLUDED WITHIN AND REDUCE THE APPLICABLE LIMIT OF LIABILITY STATED IN THE POLICY. PLEASE READ THE ENTIRE POLICY CAREFULLY.

Please answer all questions, and verify that all information is true and complete to the best of your knowledge. Sign and date the application. Please refer to the Supporting Documents Checklist below for digital documents that must be uploaded and submitted with this form.

Supporting Documents Checklist

For Part 5: History, please have the following digital documents ready to upload, if needed:

  • Resumes of Applicant’s key personnel (not panel appraisers).
  • Copy of Applicant’s standard agreement with and qualifications for panel appraisers.
  • Copy of Applicant’s quality control procedures.
  • Currently valued loss runs for all policies in force during the past five (5) years.
  • Claims Supplement (Form 3REO-S) for each claim or disciplinary action in the past five (5) years, if any.
  • Copy of most recent declarations page, if Applicant currently carries Professional Liability insurance.