The Insurance Marketplace - Questionnaire


Name of Company, Underwriting Group, Risk Retention Group, Specialty Broker, or Program Administrator (as you wish your listing to appear)
City: State/Province: Zip: Country:
Telephone: Toll Free: Fax:
This is your questionnaire for coverage listings in the 2019 National Market Directory.
As you complete your questionnaire, please check the appropriate column - Program Administrator/Underwriting Manager or Other Market Sources - for each coverage that you want to appear under. We will make the distinction when we list you.
Except for ADVERTISERS, whose LISTINGS ARE FREE, there is a charge based on the number of categories. Please consult the fee schedule at the end of questionaire.
If you choose to advertise, even regionally, you are eligible to appear with your coverages in the National Market Directory, even though you might not otherwise qualify for such listings. For details, please call our advertising department at 1-800-428-4384 or 317-582-1600, FAX 317-816-1000 or e-mail Eric Hall at or Marc Basis at

Listing Criteria and Marketing Information

The criteria for listing an insurer, managing underwriter, managing general agent or excess and surplus lines broker in the 2019 edition of The Insurance Marketplace- are:

Insurors - licensed in one or more states with net premiums (2017) of $2 million (U.S.) or more.

Managing Underwriters - represent one or more companies for specific classes or for all property and casualty classes and operate in all states in which the company operates.

Managing General Agents - represent companies and operate in one of The Insurance Marketplace- geographical territories.

Excess and Surplus Lines Brokers - have binding contracts with Lloyd's or domestic and alien non-admitted insurers.

1. Indicate the category which best describes your organization:
2. Please answer the following questions related to marketing:
  A. List any additional nonstandard or unusual forms of insurance (not listed in the questionnaire) which your organization writes:
  B. List all states in which your organization is operating through agents on an admitted basis:
  C. List all states in which you are operating on a non-admitted basis:
  D. Countries:
3. If you are an Insurance Company, how are your special facilities marketed:
4. If you operate as a Program Administrator, Risk Retention Group, Managing Underwriter, MGA or E&S Broker, are your facilities available to:

On the following pages, please check each type of insurance your company writes and whether you offer the coverage as a program administrator/ underwriting manager, or as another market source. Before returning this questionnaire please answer the marketing questions on page one. We also request that a company or individual in charge of the Excess and Surplus or Specialty Lines Department sign the questionnaire . Return to : The Insurance Marketplace, c/o The Rough Notes Company, Carolyn Pringle, Project Coordinator, P.O. Box 1990, Carmel, Indiana 46032-4990. Fax: 317-816-1000.

Please check only one, Program Administrator or Other Market Sources.
For Office Use: Written by Written by
/Undwrtg. Mgr
  Other Mkt. Sources COVERAGES Prg. Adm.
/Undwrtg. Mgr
  Other Mkt. Sources
Abstracters Professional Liability 2 Accountants Professional Liability 3
Accreditation Programs Errors and Omissions 4 Active Shooter Coverage 844
Actuaries Professional 5 Acupuncture Specialists Liability 6
Adjusters Errors and Omissions 7 Adoption Agencies Errors and Omissions 602
Adult Book Stores 570 Adult Entertainment Film Production 768
Advertising Agency Liability 8 Agent Market Intelligence Resources 787
Agritainment/Agritourism 823 Air Cargo Insurance 10
Aircraft Hull and Liability 11 Aircraft Products Liability 12
Aircraft Spare Parts 13 Airport Owners/Operators Liability 14
Airport Property And Aviation-Related Risks 665 Alcohol and Drug Rehabilitation Centers Liability 15
All-Terrain Vehicles 16 Alternative Energy Plants 17
Amateur Athletic Programs (Colleges and Clubs) 18 Ambulance Service Malpractice 19
Ambulatory Surgery Centers 686 American Expatriates 73
Amusement Devices - Coin Operated 20 Amusement Parks and Fairgrounds 21
Amusement Rides 22 Anesthetists Professional Liability 23
Anhydrous Ammonia Dealers Liability 24 Animal Farms (Exotic) 25
Animal Mortality 26 Animal Rescue Organizations 790
Animal Rides 28 Animal Shelter 811
Answering Services Errors and Omissions 29 Antique Aircraft Insurance 30
Antique and Classic Automobile Insurance 31 Antique and Classic Boats 32
Apartment Complexes 622 Appraisers Errors and Omissions 33
Aquaculture Operations 34 Arborists 804
Archery Clubs 35 Architects and Engineers Professional 36
Armored Car Services 37 Art Collections 687
Art Galleries 688 Asbestos Abatement Consultants Professional Liability 40
Asbestos Abatement Contractors 41 Asbestos and Lead Paint Abatement Bonds 42
Assisted Living Facilities 650 Associations Professional Liability 43
Association-Sponsored Mass Marketing Programs 44 Athletic Event Cancellation Insurance 689
Auction Houses 45 Auctioneers Errors and Omissions 46
Auto Dismantlers/Auto Recyclers 655 Auto Salvage Yards 690
Auto Service Centers 679 Automatic Car Wash Services 47
Automobile and Snowmobile Racing Liability (Spectator) 48 Automobile and Truck Rental - Daily 49
Automobile Dealers 50 Automobile Excess Liability 51
Automobile Insurance Plans Excess Liability 52 Automobile Insurance Plans Physical Damage 53
Automobile Leasing Contingent Liability 54 Automobile Leasing Contingent Physical Damage 55
Automobile Nonstandard Liability 56 Automobile Nonstandard Physical Damage 57
Automobile Physical Damage (Kits/Replicas/Custom Cars) 58 Automobile Repossessors Liability 59
Automobiles - Sport and High Performance Cars 60 Bailees Customers Insurance 61
Background Check Services 808 Bankers Blanket Bond - High Limits 62
Barber Shop Liability 63 Bars 64
Battered Persons Facilities 65 Beauty Shop Liability 66
Bed and Breakfast Inns 67 Beekeepers Coverage 843
Bicycle Dealers 691 Bicycle Manufacturers 692
Billiard Parlors 572 Bingo Halls 573
Biofuel Distribution 839 Biofuel Manufacturing 838
Biotechnology Liability 693 Birds (Exotic) 69
Birth Centers Liability 70 Blood Banks Professional Liability 71
Bloodstock Insurance 72 Boat Dealers 694
Boat Manufacturers 695 Boat Rental 812
Boatyards or Boat Repair and Servicing Operations 696 Bobtail or Deadheading Liability (Truckers) 75
Body Piercing Liability 76 Boiler and Machinery Coverage aka Equipment Breakdown Coverage 697
Bowling Centers 77 Bridge, Tunnel, and Elevated Highway Construction 698
Broadcast Stations 603 Brownfields Development Sites 604
Buffer Layer Liability 214 Builders Risk 79
Builders Risk - including Design Error 80 Building Equipment Erection and Installation 699
Bumbershoot Liability 81 Bungee Jumping Events 82
Burglar, Fire Alarm and Safety Equipment Company Liability 83 Bus Conversions 100
Buses 84 Business Legal Expense Insurance 85
Business Travel Accident 86 Cable TV Liability 700
Campers and Camper Vans 87 Campground Owners Liability 88
Canoe Trips/River Rafting 89 Capacity or Excess Property Insurance 90
Caribbean Property 568 Carnivals and Circuses 92
Carpentry Work Contractors 701 Casino/Gaming Risks 93
Catered Affair Cancellation Insurance 94 Caterers Errors and Omissions 95
Caves 837 Celebrity or SpokeSperson Death, Disability or Disgrace 103
Cemetery Professional Liability 96 Charter Boats 97
Charter Buses 98 Charter Schools 824
Check Cashing Services 101 Chemical Manufacturers 102
Chemical Distributors 799 Chiropractors Professional Liability 104
Christmas Tree Lots 105 Churches 106
Clergy Professional Liability 108 Clinical Laboratory Malpractice 109
Coal Mining Operations 110 Coal Trucks Physical Damage 111
Coastal Properties 702 Coatings and Adhesives Manufacturers 605
Coin and Stamp Dealers Insurance 112 Coin-Operated Dry Cleaners and Laundries 113
Coinsurance Deficiency Coverage 114 Collateral Protection Insurance 115
Collectibles 232 Collection Agents Errors and Omissions 116
Commercial Autos-Miscellaneous and Special Purpose 117 Commercial Credit Insurance 118
Commercial Fishing Boats 119 Community Resort Associations 606
Community Service Agencies 121 Community Theaters 122
Computer Software Designers Errors and Omissions 123 Concrete Work Contractors 703
Condominium Directors and Officers Liability 124 Condominiums 125
Construction 762 Construction/Environmental Testing Laboratories 269
Consultants Professional Liability 127 Contractor Controlled Insurance Plan (CCIP) aka Contractor-s Wrap-Up 704
Contractors Design and Build (Project Managers) 128 Contractors Equipment Insurance 129
Contractors Pollution Liability 130 Contractual Bonus Insurance 675
Convenience Stores 638 Convention and Trade Show Insurance 132
Corporate or Employed Counsel Professional Liability 134 Cosmetic Manufacturers 135
Cosmetic Distributors 800 Country Club Insurance 136
Country Inns 682 County Clerks and Recorders Errors and Omissions 137
Courier and Messenger Services 138 Court Reporter 825
Crane and Rigging Contractors 139 Crop Dusting and Spraying 141
Custom Harvesting Operations 143 Customized Vans 144
Customs Bonds 145 Customs Brokers and Freight Forwarders 142
Cyber Liability 362 Dance Schools 146
Dangerous Dog Liability Insurance 773 Day Care Centers - Adult 705
Day Care Centers - Children 149 Demolition Contractors Liability 150
Dental Hygienists Professional Liability 151 Dentists Professional Liability 152
Developmental Disabilities Facilities 435 Dieticians and Nutritionists Professional Liability 153
Difference in Conditions Insurance 154 Directors and Officers Liability 155
Directors and Officers Liability-Financial Institutions 156 Directors and Officers Liability-Nonprofit Organizations 157
Disc Jockey 807 Dive Shops/Instructors 579
Document Destruction Professional Liability 671 Dog Kennels 158
Drag Strip Liability (Spectators) 159 Dredging Contractors 642
Driveaway Collision Coverage 791 Driving Schools 160
Drone (Unmanned Aerial Vehicle) 820 Drug Testing Liability 581
Dump Trucks (Liability and Physical Damage) 161 Durable Medical Equipment Distributing 826
Durable Medical Equipment Manufacturing 828 Durable Medical Equipment Rental 827
Ear Piercing Liability 162 Earthquake and Earth Movement Insurance 163
E-cigarette Stores 813 Educational Institutions 662
Educators / Teachers Individual Professional Liability 840 Educators Errors and Omissions 164
Electric/Hybrid Vehicles 774 Electricians 706
Electronic Data Processing Equipment 707 Electronic Data Processors Errors and Omissions 708
Elevator Maintenance Contractors 165 Emergency Care Centers 810
Emergency Medical Technicians Errors and Omissions 166 Emergency Service Organizations 167
Employed Counsel Professional Liability 168 Employee Benefit Plans Liability 169
Employee Staffing Services 608 Employers Liability Coverage or Stop Gap Liability 636
Employment Agencies Errors and Omissions 170 Employment Temporary Services Agencies 172
Employment-Related Practices Liability 171 Engineers Professional aka Architects and Engineers Professional Liability 173
Environmental Consultants Errors and Omissions 174 Environmental Contractor Bonds 175
Environmental Impairment Liability 176 Environmental Remediation Contractors 609
Environmental Site Assessment 177 Equestrian Risks 178
Equipment and Tool Rental Services 179 Equipment Breakdown Coverage aka Boiler and Machinery Coverage 445
Equipment Leasing-Lessor Protection 180 Equity Protection Plan 764
Escrow Agents Errors and Omissions 181 Event Cancellation Insurance 483
Event Coordinators Errors and Omissions 709 Excavation Contractors 182
Excess and Surplus Lines Brokers and Managing General Agents Errors and Omissions 183 Excess FDIC Insurance 184
Excess Fidelity Bonds 185 Excess Flood Insurance 672
Excess Liability (Commercial) 186 Excess Liability (Over Self-insured Retention) 187
Excess Liability (Personal) 188 Excess Malpractice and Professional Liability 189
Excess Marine Liability 190 Excess Maritime Employers Liability 191
Excess Medical Stop Loss Coverage-Self-Insured Risks 192 Excess Property 652
Exercise and Physical Fitness Centers 193 Exterminators Liability 194
Farm Feed, Fertilizer, Seed and Supplies 711 Farm Implement Dealers 710
Farm Labor Contractors 775 Farmers Markets 712
Farms and Ranch Properties 196 Female Reproductive Services 833
Ferry Flight Insurance 763 Ferry Operators 792
Fertilizer Manufacturers 793 Film and TV Producers Errors and Omissions 197
Film and TV Producers Indemnity (Cast Insurance) 198 Film Schools Student Productions 769
Film/Movie Production Insurance 669 Financial Institutions 199
Financial Planners Errors and Omissions 200 Fine Arts Floaters (High Values) 201
Fire Protection Industry 574 Firearm Liability 834
Firearms Dealers and Distributors 202 Firefighters Accident, Death and Disability Coverage 203
Fireworks Displays-Contractors Risks 204 Fishing Contests 205
Flea Markets and Antique Shows 206 Flight Schools 803
Flood Insurance - Private 822 Floor Laying and Other Floor Work Contractors 713
Food Rejection Insurance 207 Food Street Vendors 575
Food Trucks 814 Food-Borne Illness-Loss of Income 451
Force Majeure Insurance 208 Forced-placed Foreclosure Property Insurance 209
Foreign Film Production 770 Forensic and Expert Witness Errors and Omissions 210
Foresters Errors and Omissions 586 Foundries 714
Franchise Sponsored Mass Marketing Programs 211 Fraternal Organizations 610
Fumigators 212 Furriers Coverages 213
GAP Insurance 611 Garage Door Installation 815
Garage Liability-Repair and Service Operations 215 Garagekeepers Legal Liability 216
Garbage and Waste Haulers 217 General Contractor-Apartments and Condominiums 715
General Contractor-Industrial and Warehousing 716 General Contractor-Nonresidential Buildings - Not Industrial or Warehouse 717
Geothermal Energy Projects 220 Glass and Glazing Work Contractors 718
Global Medical Insurance 612 Golf Carts and Low Speed Vehicles (LSV) 776
Golf Course Architects 569 Golf Courses 222
Golf Driving Ranges 223 Grain Elevators 224
Green Building-Commercial 719 Green Building-Personal 720
Gun Collection Floaters 225 Gymnastics Liability 226
Hail Insurance on Growing Crops 227 Halfway Houses 228
Haunted Houses 229 Hazardous Industries Monoline Workers Compensation Insurance 649
Hazardous Material Haulers 230 Hazardous Waste Storage and Disposal Facilities 231
Health Foods Industry 576 Hearing Aid Service Errors and Omissions Liability 233
Heavy Construction Contractors 721 Helicopters 234
High Limit Disability 722 High Performance Boats 587
High Technology Exposures 235 High-Valued Commercial Property 653
High-Valued Personal Property 723 Highway and Street Construction Contractors 724
Historic Home Insurance 236 Hole-in-One Coverage 237
Home Business Insurance 725 Home Health Care Agencies 238
Home Inspection Errors and Omissions 621 Home Sellers Liability 588
Homebuilders Coverage 666 Homeowners Associations 589
Homeowners Policies-Low-Value and Nonstandard 239 Horse (Livestock) Major Medical and Surgery Insurance 243
Horse and Carriage Risks 240 Horse Breeders/Boarders 241
Horse Farms 242 Horticultural Risks 244
Hospice 777 Hospital Professional Liability 245
Hot Air Balloons (Liability and Physical Damage) 246 Hotels 247
Houseboats 248 Hunting and Fishing Clubs 250
Identity Theft Liability 778 Independent Pay Telephone Operators 627
Industrial Hygienists Errors and Omissions 251 Industry/Vendor Service Provider 726
Inland Marine 798 Installation Floaters - High-Value 252
Installment Sales Floater 253 Insurance Agents and Brokers Errors and Omissions 254
Insurance Company Financial Reporting 788 Insurance Company Professional Liability 255
Insurance Investigators Errors and Omissions 256 Intellectual Property Enforcement Coverage 257
Interior Designers Professional Liability 258 International Insurance 259
Internet Home (Web) Page Designers Errors and Omissions 614 Internet Liability 727
Internet Promotions 632 Investment Counselors Errors and Omissions 260
IRA or Keogh Plan Errors and Omissions s 262 Irrigation Designers Errors and Omissions 263
Janitorial Services 264 Jewelers Block 267
Jewelry and Fur Floaters (High Values) 268 Kart (Go-Kart) Liability 270
Kidnap/Ransom Insurance 271 Kidney Dialysis Centers 272
Labor Unions Errors and Omissions 273 Land Improvement Contractors 274
Land Surveyors Professional Liability 275 Landfill Closure Performance Bonds 276
Landfills (Sanitary) 277 Landscape Architects Professional Liability 278
Law Enforcement Officers Liability 279 Lawn Care Services 280
Lawyers Professional Liability 281 Lead Paint Contamination 282
Lead Paint Removal Contractors 283 Lead-based Paint Renovation, Repair and Painting Coverage 765
Legal Expense Insurance 284 Lenders Environmental Liability Insurance 285
Libraries 286 Limited Partnership Liability-Partnership Managers 288
Limousine Services 289 Liquefied Petroleum Gas Dealers 290
Liquor Dealers and Stores 291 Liquor Liability (Host Coverage) 292
Liquor Liability and Dram Shop Act Liability 293 Livestock Haulers 294
Livestock Mortality 295 Livestock-Auction Market Form 296
Livestock-Commercial Feedlot Reporting Form 297 Lobbyist 816
Locomotive Repair 802 Loggers Broad Form Property Damage Liability 298
Logging Operations 299 Long Haul Trucking Insurance 300
Managed Care Errors and Omissions 591 Manicurists Liability 301
Manufactured Home Haulers 302 Marina Operations 304
Marine Cargo Insurance 305 Marine Hull Insurance 306
Marine-related Professional Liability and Errors and Omissions Coverage 307 Marine War Risk 817
Maritime Liability 308 Marketing and Public Relations Firms Errors and Omissions 309
Marketing Consultants Errors and Omissions 310 Marriage and Family Counselors Professional Liability 311
Martial Arts Liability 312 Masonry, Stone Setting and Other Stonework Contractors 728
Massage Therapists Professional Liability 729 Material Handling Contractors 314
Media Liability 730 Media Promotions 634
Mediators/Arbitrators Errors and Omissions 315 Medical and Radiology Laboratories Professional Liability 316
Medical Billing Companies Errors and Omissions 615 Medical Device Distributing 832
Medical Device Manufacturing 831 Medical Diagnostic Centers Errors and Omissions 317
Medical Marijuana Crop Insurance 767 Medical Marijuana Dispensaries 766
Medical Personnel Service Agencies Professional Liability 320 Medical/Physical Rehabilitation Therapy 654
Medical Technology & Life Science Manufacturers and Distributors 786 Medical Tourism 785
MediSpas 677 Mental Health Clinics Professional Liability 321
Mergers and Acquisitions 640 Mexico Coverage 592
Micro Brewery/Brew Pubs 324 Military Housing Property Managers 674
Miniature Golf 323 Mining Operations and Equipment 326
Mobile Home Dealers-Physical Damage and Liability 327 Mobile Home Parks-Owners Liability 329
Mobilehome Personal Lines Coverage 731 Mortgage Bankers and Servicing Agents Errors and Omissions 331
Mortgage Brokers Errors and Omissions 593 Mortgage Impairment Insurance 332
Morticians Professional Liability 333 Motor Home Rentals 577
Motor Home/Travel Trailers (Commercial Use) 594 Motor Homes 334
Motor Scooter and Moped Rental Insurance 619 Motor Sports Liability 335
Motor Truck Cargo Insurance 336 Motorcycle Custom Manufacturing and Fabricating 667
Motorcycle Dealers 338 Motorcycle Insurance 337
Motorcycle Rental Insurance 629 Mountain Bikes/Dirt Bikes 339
Mountain Climbing/Mountaineering 340 Movie Boats 771
Moving Companies 578 Multiple Peril Crop Insurance 341
Municipal and Public Entities Liability 342 Museums 343
Musical Instrument Floaters 344 Musicians 779
Mutual Fund Managers Errors and Omissions 733 Mutual Funds Directors and Officers Coverage 732
Nanomaterial Distribution 836 Nanomaterial Manufacturing 835
Natural Gas Utilities 661 Negative Film Insurance 346
Nightclubs 660 Non-owner Car Insurance 842
Nonprofit Organizations 784 Notary Public Errors and Omissions 349
Nurse Practitioners 780 Nurse-Midwives Professional Liability 350
Nurseries 351 Nurses Professional Liability 352
Nursing Homes Professional Liability 353 Nutriceuticals 734
Oceanography Risks 354 Off-Course and Storage Coverage 630
Offshore Oil Drilling and Service Risks 355 Oil and Gas Deficiency Insurance-Guaranteed Performance 356
Oil Drilling Equipment 357 Oil Drilling Rigs and Well Servicing Equipment 358
Oil Jobbers/Petroleum Distributors 359 Oil Landmen and Lease Brokers Errors and Omissions 360
Oil Lease Property (Oil Field Equipment) 361 Oil Well Liability 363
Operators Extra Expense-Oil and Gas 364 Ophthalmologists Professional Liability 365
Opticians Professional Liability 366 Optometrists Professional Liability 367
Osteopaths Professional Liability 368 Outdoor Recreational Facilities 616
Outfitters and Guides Liability 369 Outpatient Clinics 370
Owner Controlled Insurance Plan (OCIP) aka Owner-s Wrap Up 735 Owners and Contractors Protective Liability (Monoline) 668
Paint Ball Game Centers 371 Paint Manufacturers 372
Painting-Exterior Contractors 737 Painting-Interior and Paper Hanging Contractors 736
Paralegal Professional 373 Paramedics Professional Liability 374
Parasailing Operators 375 Parking Garages and Parking Lots 376
Patent Infringement 378 Pawnshops 379
Pension Consultants' Professionals 738 Personal Trainers Professional Liability 595
Personal Watercraft 266 Pet Accident and Health Insurance 380
Pet Grooming Liability 382 Pet Mortality Insurance 381
Petrochemical Risks 383 Pharmacists Professional Liability (Employed) 384
Phone Card Promotions 633 Photographers Errors and Omissions 385
Physicians Assistants Professional Liability 386 Physicians Professional Liability 387
Physiotherapists Professional Liability 388 Pier and Dock Contractors 794
Pipeline Insurance 389 Pizza Delivery Services 390
Planners Professional Liability 391 Plastering, Drywall, Acoustical and Insulation Work Contractors 739
Plumbing, Heating and Air Conditioning Contractors 740 Podiatrists Professional Liability 580
Political Action Committees Liability 392 Political Risk Insurance 393
Pollution Cleanup Indemnity-Marine Operations 741 Pollution Cleanup Indemnity-Non-marine Operations 742
Polygraph Operators Professional Liability 395 Poultry Insurance 396
Power Distribution-Electric Utilities 670 Power/Pressure Washing Contractors 795
Precious Metal Dealers 397 Premium Finance Companies Errors and Omissions 398
Printers Errors and Omissions 399 Privacy Insurance 678
Private Corrections Industry 400 Prize Indemnification Insurance 401
Product Contamination Insurance 402 Product Warranty Inefficacy Coverage 403
Product Warranty Insurance 404 Products Liability-Hazardous or New Products 407
Claims-made to Occurrence Coverage 406 Products Recall Expense Insurance 408
Professional Athletes 409 Professional Employers Organizations (PEOs) 637
Professional Insurance Industry Organizations 676 Property Management Errors and Omissions 410
Prosthetic and Orthotic Patient Care Errors and Omissions 617 Protection and Indemnity Insurance (Marine) 411
Psychiatrists Professional Liability 412 Psychologists Professional Liability 413
Public Housing Authorities Liability 415 Public Officials Liability 416
Public Utilities Insurance 417 Publishers Liability 418
Quick Lubes 647 Race Car Drivers (AD&D Coverage) 419
Racetracks-Animals 743 Racetracks-Vehicles 744
Radiologists Professional Liability 420 Radon Mitigation Consultants and Contractors 421
Railroad Property and Liability Coverages 422 Railroad Protective Liability 423
Real Estate Agents Errors and Omissions 425 Recreational Clubs Liability 426
Recreational Trail Operators Liability 427 Recreational Vehicle Dealers 428
Recycling Centers 429 Registered Representatives (Mutual Funds) Errors and Omissions 430
Rehabilitation Projects 431 Representation and Warranties Coverage 841
Research Organizations Errors and Omissions 582 Residential Remodeling Contractors 745
Residual Value Insurance-Autos, Equipment, etc. 432 Resorts 433
Restaurants 434 Retail Fireworks Sales 639
Rideshare Auto Insurance 818 Riding Academies/Hunt Clubs 437
Risk Retention Group and Purchase Group Programs 438 River and Harbor Craft 439
River Boat Gambling Casinos 583 Rock Concerts 440
Rodeos and Horse Shows 441 Roofing, Siding and Sheet Metal Work Contractors 442
Saddle Animal Liability 443 Sales Redemption Campaigns 446
Sand and Gravel Haulers 448 Scaffolding Risks 450
School Bus Contractors 781 Security Guard Services and Detective Agencies Liability 454
Seed Merchants Errors and Omissions 455 Self-Insurance Retention (SIR) Programs 457
Self-Storage Risks 456 Senior Housing 746
Sex Abuse/Molestation Liability 459 Ship Charterers Legal Liability 461
Ship Repairers Legal Liability 462 Shooting Range Liability (Trap and Skeet) 463
Shopping Centers-Malls 747 Shopping Centers-Strip 748
Short Line or Tourist Railroad Packages 465 Short Term Productions 772
Single Interest Insurance 466 Skateboard Parks Liability 468
Skating Centers (Roller and Ice) 469 Ski Operations 470
Slaughterhouses 806 Snowmobiles (Commercial and Rental) 472
Snow-removal Contractors 796 Snowmobiles (Personal Use) 473
Social Services Agencies 474 Social Workers and Welfare Workers Errors and Omissions 475
Soil Engineers Professional Liability 476 Solar Energy Products and Installers 477
Solar-Heated Risks 478 Space Industry Insurance 749
Special Events Liability 479 Special Risks Accident Insurance 481
Sperm Banks 819 Sport Fishing Boats 482
Sporting Events Sponsors 750 Sporting Goods and Equipment Manufacturers 485
Sports Camps 484 Sports Memorabilia (Baseball Cards, Etc.) 486
Sports Promotions Coverage 651 Stevedore Legal Liability 487
Stockbrokers Errors and Omissions 488 Stop Loss Excess Aggregate 489
Storage Tank Testing/Installation/Removal 490 Storage Tanks-Aboveground 491
Structural Steel Erection Contractors 751 Student Accident Insurance 492
Student Housing 681 Subsidized Housing 752
Substandard and Low-Valued Dwelling Fire Insurance 493 Substandard Businessowners Policy (BOP) 753
Substandard Crime Insurance 494 Substandard Fire (Commercial) 495
Substandard General Liability 496 Substandard Malpractice and Professional Liability 498
Substandard Package Policies 754 Summer Camps 499
Summer Recreational Activities 500 Supermarkets 501
Surety Bonds-Miscellaneous and Special Risks 502 Surety Bonds-Small Contractors 503
Surgeons Professional Liability 504 Swimming Pool Contractors 505
Talent Agencies Errors and Omissions 598 Tanning Salons Liability 507
Tattoo Parlors 585 Tattoo Removal Liability 599
Tax Preparers Errors and Omissions 508 Taxicabs 509
Team Sports Medical Accident Coverage 510 Tennis and Racquetball Centers (Indoor) 512
Terrazzo, Tile, Marble and Mosaic Work Contractors 755 Terrorism Coverage 756
Theater Groups 809 Third-Party Claims Administrators (TPA) Errors and Omissions 514
Third-Party Fidelity Coverage 515 Timeshare/Interval Ownership Operations 658
Tire Retreaders 516 Title Insurance Agents Errors and Omissions 517
Tour Operators Errors and Omissions 518 Tow Trucks Insurance 519
Toy Manufacturers 830 Trailer Manufacturers Product Liability 761
Transfer Agents Errors and Omissions 523 Transportation Brokers-Contingent Cargo Insurance 524
Travel Agents Errors and Omissions 525 Travel Trailers and Campers-Personal 526
Travel Trailer Rentals Insurance 600 Tree Service Liability 527
Trip Cancellation Insurance (TCI) 757 Truck Servicing Operations 801
Truckers Occupational Accident/Workers Compensation 529 Trucking Operations 758
Trust Department Errors and Omissions 530 Trustees and Fiduciaries Errors and Omissions-Pension, Welfare and Employee Benefit Funds 532
Umbrella Liability-Commercial 534 Umbrella Liability-Over Claims-Made Primary 535
Umbrella Liability-Personal 536 Unauthorized Computer Access Coverage 537
Underground Storage Tank (UST) Pollution Liability 538 Underwriting Guides and Checklists 789
United States Longshore and Harbor Workers Compensation Act 635 Used Car Dealers Insurance 540
Utility Systems Construction 759 Vacant Properties Insurance 542
Vanpool Operators 797 Vacation Income Property 680
Vacation Weather Cancellation Insurance 601 Valet Parking Services 782
Valued Business Interruption Insurance 543 Vending Machines Floater 544
Vessel Pollution 643 Veterinarians Professional Liability 545
Video Games/Arcade Centers 546 Video Rental Stores 547
War Risk Accident Insurance 548 Warehouse Operators Legal Liability 549
Water and Sewer Entities 783 Water Irrigation/Reclamation Districts Insurance 551
Water Parks Insurance 553 Water Ski Schools Liability 552
Water Sport Rentals 554 Water Well Contractors 657
Weather Insurance 555 Welders 821
Welding Supplies Sales and Distribution 829 Workers Compensation Self-Insurers Bonds 561
Wrap-Up 760 Wharfingers Legal Liability 556
Wind farms 805 Windstorm (Monoline) Coverage 644
Wineries 557 Winter Recreational Activities 558
Woodworking and Lumber Operations 559 Workers Compensation 684
Workers Compensation Excess Insurance 560 Yachts and Pleasure Boats 565
Youth Group Homes 618 Youth Outreach Programs 566
Youth Sports Programs-Accidental Death and Disability 567 Zoos and Zoological Societies 648


Please check only one - Program Administrator or Other Market Sources.



(In U.S. Dollars)

Charges Based On Number Of Listings Checked

1-5   Listings   $375   (minimum charges)   101-199   Listings   $1,865
6-15   Listings   $515       200-299   Listings   $2,065
16-30   Listings   $755       300-349   Listings   $2,325
31-50   Listings   $940       350-399   Listings   $2,415
51-75   Listings   $1,175       400-500   Listings   $2,555
76-100   Listings   $1,340       500 Plus   Listings   $3,755




A signature verifying the choice of listings and authorizing the charges is required.

I authorize the publishers of The Insurance Marketplace- to publish our listings and if not prepaid with this questionnaire, agree to submit a listing payment in accord with the schedule above.

  Type name and title (Officer of Company)   Company  
  Signature   Mailing Address  
      City / State / Zip  

For your coverages to be included in the 2019 Edition of The Insurance Marketplace-, we must have your questionnaire by August 24, 2018!

Please return to: The Insurance Marketplace

The Rough Notes Company, Inc., P.O. Box 1990, Carmel, IN 46032-4990

Phone: 800-428-4384 or Fax: 317-816-1000 Email: