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1) |
The "Disclosure Statement" (D-1
Form) - This explains to your insured that the coverage is being placed with
a non-admitted insurer. This form must be signed by your insured prior to placement
of coverage. |
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2) |
The "Diligent Search Report" (SL-2
Form) - This form is required by the California Insurance Code Section 1763
and must be signed by you or a licensed California Agent / Broker in your firm.
The SL-2 form gives information about the coverage being placed and also details
your efforts to place the risk with an admitted (licensed) California insurer.
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These forms can be downloaded as
indicated below. If they are incomplete or incorrect when you order coverage: |
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1) |
No binder will be issued. |
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2) |
A notice will be sent to you asking
you to submit completed and signed forms within 5 days. |
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3) |
If acceptable forms are received
within 5 days, we will issue the policy. |
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4) |
If we do not receive the forms within
5 days, a cancellation notice will be sent for non-compliance with the Insurance
Code requirements and an earned premium charged. |
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For your convenience, you can download
the following forms to assist you in completing the D-1 and SL-2 forms. |
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D-1 Form |
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SL-2 Form and instructions |
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View tutorial - (Flash animation) |
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If you need any assistance in completing
the forms, please call the issuing departments' contact person at 800.234.6977:
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Department
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Contact Person
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Extension Number
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Brokerage/Specialty Placement |
Lina Llamas |
242 |
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