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Prospective Clients


Forms

Thank you for your interest in Conway E & S! Please forward the following documents to cwachtel@conwayes.com or fax them to 800-748-9787 (attn: Chris Wachtel).

Please review the attached documents and return the requested information:

Completed and Signed "Broker's Agreement"

Completed "Client Profile"

Completed "Receiving Policy Form"

• Copy of your Corporate Producer's License.

• Copy of declarations page for E & O Coverage with limits and expiration date.

Due to the nature of the risks that we write and the wholesale distribution system that we are in, there are many things that are different about dealing with the surplus lines markets, as compared to your standard markets. Payment provisions, minimum earned premiums, minimum and deposit provisions, taxes, etc., are just a few of the differences that we would be glad to explain to you and your staff.

We are here to help you write business. Your success is our success and we welcome your suggestions and input on how we can be of better service to you.

Thank you again for your interest! We look forward to working with you in the future.

Sincerely,

Jeffrey C. Conway
President