SPI Renewal Insurance Application

  • Complete name as it should appear on the policy including Inc., Corp., Ltd., LLC., Etc...
  • Main Contact
  • Business Phone
  • Fax Number
  • Cell Phone Number
  • Operations

    Please provide the percentage of revenue from each type of operation below:
  • It is an area of investigation that utilizes engineering, physics, mathematics, photogrammetry, simulations, and computations to essentially reconstruct the accident to get a better idea of what happened.
  • Anti-money laundering (AML) refers to the contemporary web of laws, regulations, and procedures aimed at uncovering illicit funds disguised as legitimate income.
  • Arson investigators play an essential role in examining fire scenes, collecting evidence and determining whether a fire's spread resulted from criminal activity.
  • A background investigator is a research specialist who verifies the personal information of individuals and sometimes gathers information about organizations.
  • Computer forensics is the application of investigation and analysis techniques to gather and preserve evidence from a particular computing device in a way that is suitable for presentation in a court of law.
  • Any individuals who have been appointed by a Circuit Court to perform only those powers, functions, duties and responsibilities authorized within such geographic limitations as the court may deem appropriate.
  • Constables serve restraining orders, summons and subpoenas, court orders, service of process, writs and arrest warrants, and act as court bailiffs.
  • Cybersecurity investigations involve the systematic process of collecting, analyzing, and preserving digital evidence to uncover what happened during a cybercrime or security breach
  • SCM encompasses all countermeasures used to prevent or detect the interception of sensitive, classified, or private information.
  • An expert witness is a person whose opinion by virtue of education, training, certification, skills or experience, is accepted by the judge as an expert
  • Fidelity investigations involve examining cases of employee theft or fraud within organizations. These investigations focus on uncovering instances where employees or third parties intentionally steal property, money, or securities.
  • Fingerprint analysis is a forensic science technique used to identify individuals by their unique fingerprint patterns
  • Genealogy is the study of families, family history, and the tracing of their lineages. Genealogists use oral interviews, historical records, genetic analysis, and other records to obtain information
  • An insurance investigator is an individual who inspects and researches an insurance claim to ensure no fraud is occurring
  • Open-Source Intelligence (OSINT) is defined as intelligence produced by collecting, evaluating and analyzing publicly available information with the purpose of answering a specific intelligence question.
  • A process server is a career in the legal field. The primary job function of people in this role is to deliver and serve legal documents to people involved in court cases and other legal actions.
  • Other operations that are not listed above.
  • Rating Information

  • Underwriting Section

  • Other Coverage

    Quote Request
  • Applicant's Warranty Statement

    The undersigned represents to the best of his/her/they/them knowledge and belief the particulars and statements set forth are true and agree that those particulars and statements are material to the acceptance of the risk assumed by the Company. The undersigned further declares that any claim, incident or event taking place prior to the effective date of the insurance applied for which may render inaccurate, untrue, or incomplete any statement made will immediately be reported in writing to the applied for which may render inaccurate, untrue, or incomplete any statement made will immediately be reported in writing to the Company and the Company may withdraw or modify and any outstanding quotations and/or authorization or agreement to bind the insurance. The signing of the Application does not bind the undersigned to purchase the insurance, nor does the review of the Application bind the Company to issue a policy. It is understood the Company is relying on the Application in the event the Policy is issued. It is agreed that this Application, including any material submitted therewith, shall be the basis of the contract should a policy be issued, and may be attached dot and become part of the policy.
  • Coverages

    Coverage is not effective until approved by our underwriters and you receive our written conformation coverage is bound with your effective date and policy number is if you qualify, your effective date will be the date of your expiring policy subject to our receiving this request prior to the expiration date of that policy or if this is the first time you have purchased coverage, the date we approve your application.
  • Questions can be answered by calling Yergey Insurance at (800) 683-1226 or fax to (877) 418-5422