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It is important that we receive complete underwriting information
in order to provide a timely quote.
A "Complete Submission" consists of:
- Completed, Signed and Dated StaffPak Application
- WC class codes/payroll (needed to underwrite the GL).
- For property, please provide a Signed Statement of Values with
coverages broken down BY LINE, BY LOCATION.
- We must have all Construction, Occupancy, Protection and Exposure (COPE) data for each location.
- For Temporary Staffing Firms, a copy of the standard Time Card (front and back) with Risk Transfer language.
- For PEO's/ASO's, a copy of the Client Services Agreement.
- Financials or a Business Plan (if a new venture).
- Resumes of the Principles and/or Managers.
- Loss Runs or a No Loss Letter.
- Target Premium and Need By Date.
To print out a copy of the Lighthouse StaffPak supplemental application,
click here
Please fax,
or email your submission to (703) 770-0989 or staffpak@lighthouseunderwriters.com
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