NOTE TO WEBSITE READERS: THIS IS AN ACTUAL CASE OF A CLIENT WHERE A 
COVERAGE CHECK/RISK REVIEW WAS COMPLETED
Contr SS for:   : UGD and Sons Electric, Inc.
Date:6-17-05      
EXPOSURE   Present Carrier Recommendations
    Additional note: names and addresses have been changed.  
Named Insd (s) Ok, but Carrier names   
no Inc, W Comp. are actual.  
    Most #s are in  
PROPERTY/IM   thousands.  
     
Bldg1   185.5  
Bpp 1   200  
address: 106 High St., (note, rated NC,
Winnsboro   not correct, front JM)
Bldg 2   117.4  
Bpp 2   100 150
address: Rear 106 High St,     
Winnsboro      
Bldg 3   5  
Bpp 3   25  
address: 110 High St    
Winnsboro      
     
SIR?   No NA
coins/removed?   80%/No OK, if insd to value
valuation   RC OK     
cause of loss   Special OK
deduct   0.5 OK
EQ/Deduct   No Cov Need quote on EQ
FLOOD   No Cov OK?  (high ground?)
     
Sign   10 OK
     
A/Rec   25 OK, back ups in safe
     
Val Papers   25 Buddy: figure 100k
     
EDP HW   Incl  
Data Media   Did not note Need 2.5, not a big deal
BI/EE   25-EE only OK
Deduct   0.5 OK
     
Ord/Law      
  Repair/Repl.   50 Did not discuss
  Demol/Repl   50 Did not discuss
     
Pprop off prem   25 (no stock) Floater covers real expos.
Terr   if certified act Did not discuss
    1  
EXPOSURE   Present Carrier Recommendations
Property/IM, cont'd  
     
       
     
     
       
Port Tools   16 OK
Max/item   1 OK
Deduct   0.5 OK
ACV/RCV   ACV RC would be nice, avail?
Coins   None OK
       
       
       
       
       
Contr Equip/Sched.  
See below for total, client   OK
keeping up w/ list. Why trailers here on 
TOTALS   77.882 auto pol?
     
     
Newly purch equip, 25% lmt.   OK
cat limit/100k for 30 days  
Leased/rented equip 80 (per item/occ) OK
    (rate 1.75 per ?)  
    For theft cov, must be  
    vis signs of forced entry,  
    will they remove this?  
EE tools   No Cov OK, Ees know.
     
     
Installation Fl.      
per loc   100 OK
per disaster   100 OK
temp loc   12.5 OK
transit   12.5 Needs 25
cause of loss/ded. Special/.5 OK
(power surge)   No Cov.  
     
transit/not rel. to inst. 25 (no cov here OK, no need
    for contr tools/equip)  
boiler and mach   No Cov. OK, no need
       
     
     
     
     
     
     
    2  
EXPOSURE              Present Carrier Recommendations
     
CGL    
occ/agg   1/2M OK
pers and adv inj.   1M OK
rented prem   100 OK
med pay   5 OK
EBL   500/1M OK
class codes    
91585, Contractor, subs 150 (cost of) OK
92478, Elect Wiring in  790.242 (payroll)  
bldgs    
     
Elect Data, prop damage, No Cov! Will Penn Nat add?
incl loss of use   see note below  
Vacant land, plus 2 lots,  No Cov Add to CGL schedule
unknown addresses.   adjacent to.
     
Deduct (PD), per claim 1 Get per occ?
     
     
     
add'l interests      
UG DesPortes and UG Jr, No Cov Add prop owners.
prop owners      
Electr data excl by definition.  
CRIME    
empl theft   10 Buddy: figure 50k.
forg/alt   No Cov Did not discuss
inside/out   10 in, 5 out OK
ERISA bond   No Cov Did not discuss
computer fraud   No Cov Did not discuss
funds transfer fraud No Cov Did not discuss
money orders and … No Cov Did not discuss
     
     
     
     
EPL   No Cov Cover
claim/agg   NA 250/500 min recomm.
SIR   NA 2.5
co pay   NA None
cause of loss   NA Depends on carrier
    Get Third Party also.
     
     
     
     
     
     
     
    3  
EXPOSURE   Present Carrier Recommendations
     
AUTO    
liab/symb   1M/1  
# units   24  
um/uim   1M/1M OK
hired/n/o   Incl OK
comp/sym   .25/7&8 Did not discuss
coll/sym   .5/7&8  
# units   22 Did not discuss
Loss payees on old autos. Current?  
hired pdam   35 (.5 ded) Did not discuss
DOC   Sarah DesPortes Need UGD Jr.
add'l insds   None  
     
WC    
EL limits   500/500/500 OK
States for 1 part 1 SC OK
States for 3 part 3 All except 5 OK
officer incl?   Yes OK
     
    We should review loss 
EXP MOD   1.33 runs, audited payroll, is 
    this correct?
class codes     
5190: Elect Wiring 516.2 Did not discuss
5605: Exec Super 252.8 Did not discuss
8227: Perm Yard 21.2 Did not discuss
8810: Clerical   30 Did not discuss
       
Sched credit/debit None OK
       
     
       
     
     
C UMB Occ/Agg 3M  
SIR   10  
Third party discrim Yes (race, rel, age  
    sex, phys disab)  
Empl Liab   Excl (why?) Why excl?
Contr Limit End   Incl What is def of excavation?
      Cut gas line, no cover?
Follow form on elect data  Yes                  Same problem w/ CGL
Electromagnetic Rad Exc Rad Excl Yes What is this talking abt?
Internet Liab   Excl       
     
     
Contr E&O   No Cov Would have to have diff
limit   NA markets to cover this.
ded   NA  
    4
Present Carrier  
Penn National A-
Best's Ratings  Westport ?                                                                                                                                                                                                                                                                                                                                                                                                                                                        
Not in Best's Guide,  
  how rated?  
Note to website      
readers; most     
problems here      
were fixed. Annual Premiums
EXPOSURE Present Carrier  
     
Property   1.762  
     
IM   1.048  
     
GL    5.974  
     
Crime   Incl  
     
Auto   26.428  
     
Other:   NA  
     
Other:   NA  
     
EPL   NA  
     
Fiduc   NA  
     
Other   NA  
     
Other   NA  
     
C Umb.   4.819  
     
W Comp   48.735  
     
Subtotal   88.766  
     
Add/Subtract for 'Apples'   NA (No competitive comparison here)  
     
REAL TOTAL   88.766  
5