Energy Account

ACORD Forms and Insurance Applications

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Overview

Our Energy markets will write both conventional and alternative energy accounts.

What is Required / Forms New Submissions Requirements:
  • Complete ACORD Applications
  • Energy Business Supplemental Applications – when applicable (Ask your FCII Account Mgr.)
  • Statement of Property Values per location
  • Current Valued Loss Runs with a minimum of 3 years (5 years preferred)
  • Drivers list if auto or umbrella coverage is being quoted
If Available:
  • Workers Comp Experience Mod Worksheet
  • Copy of current policy or explanation of the type of coverage currently provided.
  • Expiring premium or target premium
  • Prior stock reports for a period of 12 months – if value reporting applies
  • Copy of Auto Safety and Maintenance Program
  • Photos
  • Financial Statements
Direction for Submissions Send completed information to your Acct Exec  at least 30 days prior to  account expiration date.
Insurance Company Rating All Carriers are ”A” Rated
Territory All States
Coverage Property – for Buildings, Personal  Property, Computers, Mobile Equipment and Business Income.  Company’s property form  may include optional coverages such as:
  • Pollutant Cleanup
  • Newly Acquired Buildings
  • Newly Acquired Mobile Equipment
  • Newly Acquired Computers
  • Accounts Receivable
  • Ordinance or Law-Increased Costs Property in Transit
General Liability – for Premises/Operations and Products Liability 
Commercial Auto 
Workers Compensation
Commercial Umbrella 
Employment Practices Liability (EPL) Coverage
Target Classes Exploration and production companies 
Drilling, work over and well service companies 
Oil field service contractors 
Oil lease operators 
Pipeline owners and operators 
Gathering systems 
Pipeline contractors 
Refineries 
Plant maintenance contractors 
Petrochemical 
Bulk storage plants and terminals
Trucking Related Business 
Solar
Wind
Geothermal
All other forms of Green Energy Alternatives
Deductibles  
Marketing Material  
Premium Financing  

 

ACORD Forms and Insurance Applications

Contact Us for more information about our services!