Insurance Survey

Your Information

First Name *

Last Name *

Title *

Utility *

Phone

Ext.

Email *

Auto Insurance

Does your organization have at least 1 owned vehicle? *

Yes

No

Do any employees drive their personal auto on work errands? *

Yes

No

You will need Auto Insurance.

Crime, Employment Practices Liability, Workers Compensation

You will need Workers Compensation.

You will need Crime, Employment Practices Liability and Workers Compensation.

Directors & Officers

Is your organization overseen by a Board of Directors, Board of Trustees or Board of Commissioners? *

Yes

No

You will need Directors & Officers Insurance.

Property & General Liability

Do you own or lease your work space? *

Yes

No

Do you own or operate Power Generation or Power Distribution Equipment? *

Yes

No

You will need Property & General Liability Insurance.

You will need Environmental Insurance.

Environmental & Excess Liability

Do you own or operate Power Generation or Power Distribution Equipment? *

Yes

No

You will need Environmental Liability Insurance.

Cyber

Could your network be held ransom by a bad actor? *

Yes

No

You will need Cyber Insurance.

Fiduciary Liability

Do you have a Fiduciary Responsibility to your employees? *

Yes

No

You will need Fiduciary Liability Insurance.

Professional Liability

Do you provide professional services for a fee? *

Yes

No

TAKE THE INSURANCE SURVEY

About This Survey

Your Information

Auto Insurance

You will need Auto Insurance.

You will need Auto Insurance.

Crime, Employment Practices Liability, Workers Compensation

You will need Workers Compensation.

You will need Crime, Employment Practices Liability and Workers Compensation.

You will need Crime, Employment Practices Liability and Workers Compensation.

You will need Crime, Employment Practices Liability and Workers Compensation.

You will need Crime, Employment Practices Liability and Workers Compensation.

Directors & Officers

You will need Directors & Officers Insurance.

Property & General Liability

You will need Property & General Liability Insurance.

You will need Environmental Insurance.

Environmental & Excess Liability

You will need Environmental Liability Insurance.

Cyber

You will need Cyber Insurance.

Fiduciary Liability

You will need Fiduciary Liability Insurance.

Professional Liability

You will need Professional Liability Insurance.

PURMA