AMERICAN AGENT & BROKER Directory of Markets for MISCELLANEOUS E&O INSURANCE 1. Online listings are FREE. 2. Due to space constrictions, only listings from print adverti sers will appear in the printed issue. Listings from companies that advertise in the print ed issue will refer readers to their ads. 3. You may submit a listing for this directory at any time, but not e that only listings from companies who advertise (and rec eived by deadline) will appear in the print issue. 4. We will include the name, e-mail and telephone numbers of people readers can contact for more information, generating responses that will go directly to you. Only one contact may be listed for print. Up to three contacts may be listed online. If giving more than one cont act for online, please specify which contact should be listed in the print version. 5. Listings will remain online for one year. Prior to expiration, an AA&B editor will contact you regarding renewing your listing at no charge. 6. AA&B’s Review & Outlook issue (published in December) publishes product and service information obtained from these listings. 7. It is your responsibility to notify AA&B if any information in the listing needs to be updated. IMPORTANT: Please return your completed form quickly. NOTE: You must complete this questionnaire for your listing to be published. We will not compile a listing from product literature sent to us in lieu of a completed form. Please send complete information about American AGENT & BROKER adverti sing and have a sales representative contact me. We will advertise in the AUGUS T issue and thus qualify for a reference to our ad in the listing. Please e-mail your completed form to mhillebrand@sbMedia.com. If you have any questions, call Melissa Hillebrand at 312-651-0321. If advertising and thus qualifying for a printed listing, The deadline to return your form is June 4. MISCELLANEOUS E&O INSURANCE QUESTIONNAIRE 1. Name of company(ies) providing coverage: 2. Type of professionals for which you offer E&O ins urance: Accountants Advertising agencies or public relations agencies Beauticians, cosmetologists, etc. Clergy Collection agencies Consultants, management Consultants, other Employee leasing companies Employment agencies Escrow agents Florists Funeral directors Health club operators Information Tec hnology Professionals Interior dec orat ors/designers Media professionals (P ublishers, broadcasters, etc.) Mortgage brokers Outfitters and guides Pest control exterminators/advisers Printers Property managers Real estate agents Real estate appraisers Security consultants, guards Stockbrokers Tax preparers Title agents Transportation specialists (Freight forwarders, shippers, etc.) Travel agents Veterinarians Other (You may list up to five): (NOTE: Under “Other, ” please DO NOT LIS T any of the following: 1) Archit ects & engineers, land surveyors, general contractors; 2) Lawyers; 3) Consultants or others involved in asbestos/environmental work; 4) Doctors or ot her health -care professionals, including EMTs; 5) D&O products (corporate, nonprofit, financial, etc.); 6) Public officials, and officials of pri vate or public educational institutions; 7) Law enforcement officials; 8) Bankers, stockbrokers, investment advis ers, transfer agents, financial planners, mortgage bankers and other professionals involved in any financial institution or investment firm, including mutual funds, pension funds, limited partnerships, etc.); 9) Agents, adjusters and others involved in the insurance business; 10) Social Service agencies. 3. Special coverage features: 4. In which states do you do business? Available Unavailable ALL STA TES AL AK AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC NE ND NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY DC For more information, readers may contact: Cont act Person Company name in full Street or P.O. Box City State ZIP Telephone Fax E-mail Web Site Person for AA&B editors to contact in case there are any questions about your information: Your name Title Telephone E-mail Thanks for your cooperation. We look forward to publishing your listing.
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