Laserfiche WebLink
AGENCY EXPERIENCE AND QUALIFICATIONS <br />1.Is agent/broko* Ikensed in the State of Minnesota for all property/casualty <br />insurance lines? Yes X ____ No _____ <br />m <br />2.Describe your continuous experience with business or commercial insurance <br />for the |H%vious five (or more) years. <br />STARTED IN INSURANCE BUSINESS 1963 AS ACCIDENT______ <br />PREVENTION REPRF.SENTATIVE. COMMERCIAL INSURANCE <br />RFPRF.SENTATIVE SINCE 1968 WITH MANTFACTURIXC. <br />WHOLESALE. CONTRACTOR CLIENTS. AND 15 YEARS_______ <br />FYPFRIFNCE W ITH MUNICIPAL CLIENTS.__________________ <br />3. List ail other governmental risks written by agent in the last five years. <br />GOVERNMENTAL UNIT PHONE #INSURER <br />SEE ATTACHED PUBLIC ENTITY CLIENT LIST <br />4.Furnish the following information concerning your Agent's Professional <br />Liabilitv Insurance. <br />Name of Insurer: EMPLOYERS’ REINSURANCE CORP._________ <br />Limit(s) of Liahilitv: i4.000.000 PER CLA1M/S4.000.000 AGGREGATE <br />Deductible: $10.000 PER CLALM/$30.000 AGGREGATE__________ <br />Provide a certiHcate of insurance with Agent's proposal. <br />If your firm does not carry such insurance or limits, please check here._