Your Online Club Umbrella Specialists

 

Finalize a Quote

This online indication form is designed to provide clubs and their insurance agents with a realistic premium indication of Umbrella Liability based on your underlying policy data.

In order to provide a "bindable" quote, we require the following information:
  • Completed ACORD Application (insured signature required)
  • Completed Umbrella Supplemental Application (insured signature required)
  • 3-5 years Currently Valued Loss Runs
  • Carrier confirmation of General Liability premium and limits (copy of declaration page to be submitted within 60 days)
  • Commercial Auto schedule
  • Copy of any policy that is Claims Made
  • Copy of all Professional Liability policies
  • List of all multiple Named Insured's and a brief description of operations of each
  • Schedule of forms of the current General Liability policy, or quote letter stating same
  • Complete schedule of all covered locations
All materials should be sent to:
ClubCover
Attn: Rob Mulhern
1301 Wright's Lane East
 West Chester, PA 19380
umbrella@clubcover.com
phone: (800) 282-6247 ext 257
fax: 610-692-5977