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Submission Requirements and Applications
Send submissions to
su.....@kbunderwriters.com
and include the following list:
List of required documents
Acords
Signed Statement of Values
Business Interruption worksheet (if applicable)
Supplemental App
5 yr current Loss Runs
Financials
Most recent FYE balance sheet and income statement
Brochures and/or advertising material
Resident admission agreement
Expiring Policy
Resumes for Administrators and DONs
Facility Licenses
State Survey Reports
Last 2 years (include all deficiencies and corrective action plans)
Organizational Chart
Emergency Evacuation plan
Supplemental Applications
Main Supplemental Application
Additional Locations Application
Renewal application
Business Income worksheet
Aging Services Auto Application
Broker Agreement
Broker Questionnaire