Applications

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Application Process

Agents, please email, mail or fax the completed ChemPlan application, along with the additional information outlined below, to:

newbusiness@chemplan.net

ChemPlan
8121 Vicela Drive
Sarasota, FL 34240
Fax: 941-379-2668

Submission Requirements:

  • ChemPlan application and any engineering information (including sprinkler reports, plot plan, most recent loss control recs and response, etc.)
  • Acord applications and Business Interruption/Extra Expense worksheets
  • Copy of dec and endorsements from current pollution legal liability policy (if any)
  • 5 years (or back to retro date if longer) currently valued carrier loss runs and details on any claims over $20,000
  • Product brochure & MSDS sheets (top 5 products and any 3 or 4 on NFPA index) and list of products sold over the past 12 months by sales volume and shipping volume
  • Audited or reviewed financials
  • Target Pricing

NOTE: As a managing underwriter, ChemPlan is not licensed to deal directly with prospective chemical company customers. Please discuss your interest with your local independent insurance agent. Your agent can then contact ChemPlan.

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