Field

What is this?

Liability Coverage Type

Select the type of liability coverage that this policy covers.

Coverage Basis

Identify whether the coverage is on an Occurrence or Claims Made basis.

Other Coverages, Restrictions and/or Endorsements

Enter any additional coverages, restrictions, or endorsements included on this policy.

Example: Include the Vendors Endorsement; Exclude Damage to Rented Premises coverages.

Field

What is this?

Total Line of Business

Field

What is this?

Coverage Grid

The coverages display in the grid for reference. You can add a new, edit an existing, or delete a coverage.

When you select to add or edit a coverage, enter the information, and click Add. The information you entered appears in the grid.

Coverage Level

Default standard coverages and limits based on General Aggregate

Check this option to have AMS 360 set up the following coverages and limits when you enter information for the General Aggregate coverage:

• Fire Damage - $50,000.

• Medical Expense - $10,000.

• Products/Completed Operations - 100% of the general aggregate limit.

• Personal & Advertising Injury - 50% of the general aggregate limit.

• Each Occurrence - 50% of the general aggregate limit.

This checkbox appears only when Coverage Level is Line of Business AND General Aggregate is selected from the Coverage list.

Sort Order

Enter the order that this coverage should appear in the grid and on forms.

Coverage

Select the applicable coverage from the list.

Limit 1
Limit 2

Enter the single or split limits that apply.

Exposure

The amount at risk.

Rate

The rate at which coverage is calculated.

Premium

Enter the cost of this coverage.

Deductible Information

Miscellaneous Information

Enter any additional information that applies to the deductible or coverage.

Example: Options other than Property Damage or Bodily Injury Deductible.

Employee Benefit Information

Complete this information if Employee Benefits Liability is to be provided.

Field

What is this?

Schedule of Hazards Grid

When you enter information about the schedule of hazards and click Addthe information appears in the grid.

Location #

Enter the number of the location to which this information applies.

Classification

Classify the applicant's liability exposures by location, use the ISO Classification Table or other industry organization rules. Enter the appropriate class description.

Class Code

Enter the general liability class code that corresponds to the class description shown in the previous field.

Premium Basis

Select the premium basis from the list, for the class code you entered in the previous field (Area, Gross Sales, Payroll).

Exposure

Enter the amount at risk (in whole dollars) for the selected Premium Basis. Use the following as a guide:

• Admissions - Per $1,000/Adm

• Area - Per $1,000/SQ FT

• Gross Sales - Per $1,000/Sales

• Other

• Payroll - Per $1,000/Payroll

• Total Cost - Per $1,000/Cost

• Unit - Per Unit

Territory

For each described exposure, enter the rating territory code based on location. The information can be found on the appropriate state exception page.

Rate

Prem

Field

What is this?

Schedule of Hazards Grid

When you enter information about the schedule of hazards and click Addthe information appears in the grid.

Location #

Enter the number of the location to which this information applies.

Classification

Classify the applicant's liability exposures by location, use the ISO Classification Table or other industry organization rules. Enter the appropriate class description.

Class Code

Enter the general liability class code that corresponds to the class description shown in the previous field.

Premium Basis

Select the premium basis from the list, for the class code you entered in the previous field (Area, Gross Sales, Payroll).

Exposure

Enter the amount at risk (in whole dollars) for the selected Premium Basis. Use the following as a guide:

• Admissions - Per $1,000/Adm

• Area - Per $1,000/SQ FT

• Gross Sales - Per $1,000/Sales

• Other

• Payroll - Per $1,000/Payroll

• Total Cost - Per $1,000/Cost

• Unit - Per Unit

Territory

For each described exposure, enter the rating territory code based on location. The information can be found on the appropriate state exception page.

Rate

Prem

Button

What is this?

Proposed Retroactive Date

Enter the date or select from the Date Picker. This is the proposed earliest date for which an occurrence could "trigger" coverage under a Claims Made policy.

Entry Date Into Uninterrupted Claims Made Coverage

Enter the date or select from the Date Picker, the retroactive date entered on the applicant's first Claims Made policy.

If this is the first such a policy, the date will be the same as the proposed retroactive date entered in the previous field. If this is a renewal, it is the effective date of the first policy issued in the sequence of uninterrupted Claims Made policies.

Has any product, work, accident, or location been excluded, uninsured or self-insured from any previous coverage?

Answer yes or no.

Was tail coverage purchased under any previous policy.?

Answer yes or no. Tail coverage extends the reporting period on a Claims Made policy to cover claims arising from occurrences that were not known by the date the policy was cancelled, renewed, or replaced.

Remarks

Describe any "Yes" answers here.

Button

What is this?

Set all "No"

Click to answer all questions No. You can then change individual answers as necessary.

Amount paid to Subcontractors

Enter the total annual amount paid to subcontractors.

Percent of Work Subcontracted

List the total percentage of work that the contractor subcontracts.

Number of Full Time Staff

Enter the number of staff employed full time.

Number of Part Time Staff

Enter the number of staff employed part time.

Describe the Type of Work Subcontracted

Explain any yes answers and enter additional information that is important in underwriting this coverage.

Button

What is this?

Set all "No"

Click to answer all questions No. You can then change individual answers as necessary.

Amount paid to Subcontractors

Enter the total annual amount paid to subcontractors.

Percent of Work Subcontracted

List the total percentage of work that the contractor subcontracts.

Number of Full Time Staff

Enter the number of staff employed full time.

Number of Part Time Staff

Enter the number of staff employed part time.

Describe the Type of Work Subcontracted

Explain any yes answers and enter additional information that is important in underwriting this coverage.

Field

What is this?

Product

Enter the product for which liability coverage is being requested.

Annual Gross Sales

Enter the estimated dollar amount of this product that the applicant expects to sell in the coming year.

No. of Units

Enter the number of units of this product that the applicant expects to sell and/or manufacture in the coming year.

Time in Market

Enter the number of months or years the product has been sold by the applicant.

Expected Life

Enter the average length of time (days, weeks, months, or years) that the applicant expects the product to last before it is worn out, used up, or consumed. This may be the shelf life for products consumed or useful life for other products.

Intended Use

Describe the use of the product. Include how, when, and where the product is expected to be used or consumed.

This information is critical for the underwriter to identify and evaluate the hazards associated with the use or potential misuse of a product.

Principal Components

Major components of the product. If you need more space, use Remarks.

Button

What is this?

Set all "No"

Click to answer all questions No. You can then change individual answers as necessary.

Literature, Brochures, Labels, Warnings, Etc.

List all information that applies. Include copies with the application, if available.

Button

What is this?

Set all "No"

Click to answer all questions No. You can then change individual answers as necessary.

Field

What is this?

Filter

Use these selections to find Additional Interest data that has already been entered in the Additional Interest Setup.

Type

Select the term that best describes the nature of the insurable interest in the policy item. Selections in this list are maintained in List Setup.

Name

Type an additional interest name or choose an interest from the list. Names are added to this list through Additional Interest Setup.

Enter the name exactly as the interest requires it to appear on the Evidence of Property, Binder, Certificate, or other forms.

Contact

If the interest is a business, enter the name of the contact person here.

Address

Enter the information as you want it to appear on forms and correspondence, including capitalization and punctuation.

City

State

Zip

Phone Numbers and Email

Write Additional Interest to Setup

Check this box to save the contact information to the Additional Interest Setup.

Once you click save, this Additional Interest can be selected from the Filter lists for any Line of Business.

Interest

Certificate

Policy

Loan Information

Interest in Item

Field

What is this?

Form #

Policy form number or company form designation for the type of policy/coverage desired.

Edition Date

Enter theEdition Datethat applies to this form.

Form Name

Enter the name of the form.

Description

Enter the form description.

Field

What is this?

Form #

Policy form number or company form designation for the type of policy/coverage desired.

Edition Date

Enter theEdition Datethat applies to this form.

Form Name

Enter the name of the form.

Description

Enter the form description.