Coverage Recommendation Acknowledgement
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PROPERTY COVERAGES
Building & Personal Property Coverage
Building
Business Personal Property
Personal Property of Others
Improvements and Betterments
Agreed Value
Flood
Sewer/Drain Backup
Earthquake
Boiler and Machinery
Legal Liability
Other
If other, describe
Notes
Optional Property Endorsements
Additional Debris Removal
Ordinance or Law
Outdoor Trees, Shrubs and Plants Enhancements
Replacement Cost Valuation
Utility Services-Direct Damage
Other
If other, describe
Notes
TIME ELEMENT COVERAGES
Business Income with Extra Expense Coinsurance
Business Income without Extra Expense Coinsurance
Extra Expense
Leasehold Interest
Alternative to Coinsurance
Agreed Value
Maximum Period of Indemnity
Monthly Limit of Indemnity
Optional Time Element Endorsements
Business Income from Dependent Properties
Ordinance or Law Increased Period of Restoration
Utility Services
Other
If other, describe
Notes
INLAND MARINE COVERAGES
Accounts Receivable
Builders Risk
Contractors Equipment
Electronic Data Processing
Fine Arts
Goods in Transit
Installation
Signs
Valuable Papers and Records
Other
If other, describe
Notes
LIABILITY COVERAGES
Commercial General Liability
Optional Liability Coverages
Cyber Liability
Professional Liability
Directors and Officers Liability
Employee Benefits Liability
Employment - Related Practices Liability
Fiduciary Liability
Pollution Liability
Herbicide/Pesticide Liability
Other
If other, describe
Notes
COMMERCIAL AUTO COVERAGES
Liability
Uninsured/Underinsured Motorists
Physical Damage
Towing
Snow/Ice Removal Liability
Rental Reimbursement
Hired Auto
Non-Owned Auto
P.I.P./No-Fault
Garagekeepers
Pollution Liability
Drive Other Car
Other
If other, describe
Notes
WORKERS COMPENSATION
Workers Compensation
Employers' Liability = $1,000,000 Limit
Notes
EXCESS LIABILITY COVERAGES
Umbrella/Excess Liability Policy
Notes
SPECIALTY COVERAGES
Environmental Impairment Liability Policy
International/Foreign Options Insurance
Underground Storage Tank Liability - UST
Other
If other, describe
Notes
PERSONAL INSURANCE COVERAGES
E&K secures the personal insurance needs of thousands of individuals through dozens of the finest "A" rated insurance carriers. Can we help you as well?
Do you have any of these important personal insurance Coverages? *
Yes
No
Primary Homeowners or Renters
Secondard Homeowners
Flood
Automobile
Motorcycle/Boat/RV/Other Vehicles
Jewelry/Fine Arts/Personal Articles
Umbrella Liability
Life
May E&K offer you a no-obligation quote on these coverages? *
Yes
No
Primary Homeowners or Renters
Secondard Homeowners
Flood
Automobile
Motorcycle/Boat/RV/Other Vehicles
Jewelry/Fine Arts/Personal Articles
Umbrella Liability
Life
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