Program Access
Coverage
Qualification Guidelines
Producer Profile
Submission
Check List
Including
Supplemental
Applications
Broker Cover Letter
And Agreement


The submission must be complete and meet the underwriting guidelines and eligibility criteria.

Submissions must include the following:

  • UtilitySure Supplemental Application - This application is REQUIRED with a submission and MUST be signed by the insured.
  • Completed Acord applications, signed by the insured, including detailed property information to include construction, occupancy, square footage, and age.
  • 4 years of currently valued carrier loss runs
  • 3 years of DOT reports
  • 3 years of leak surveys
  • Updated driver information

If you are not yet appointed with Willis of New Hampshire, Inc., please include the following:

  • Completed and signed Broker Agreement with the following:
    • Proof of E&O showing a minimum of $1,000,000 limit per occurrence.
    • Copy of agency and individual producer licenses in all states you submit business for including your resident licenses.

     


For more information contact:
Send Submission to: Paula Wedgeworth, paula.wedgeworth@willis.com
Willis HRH Programs
1 New Hampshire Avenue, Suite 200
Portsmouth, New Hampshire 03801
Phone: (603) 334-3024
Fax: (603) 334-3090