• Quality Coverage For:
  • Residential, Commercial & Industrial Real Estate Sales
  • Property Management & Leasing
  • Residential/Commercial Appraisals
  • Real Estate Counseling
  • Mortgage Brokering
  • Insurance Agents E&O
  • Title/Escrow Agency
Real Estate Errors & Omissions Application
 
Full Legal Name of Your Business (if individual only, full name of individual) and Your “Doing Business As” Name:
Principal Business Address: City State Zip
Contact Name: Telephone No.: Fax No.: Email Address:
Expiration Date: Current Carrier: Limits: Deductible: Expiring Premium:
 
1. a. Date applicant was established: b. Year broker first licensed:
 
 
2. How many real estate brokers and agents do you employ, or have under contract as independent contractors?
  FULL TIME: PART TIME:
 
 
3. Complete the grid below as it reflects on your past 12 month’s transactions:
 
Service # of Transactions Gross Commisions
Residential Real Estate Sales
Commercial Real Estate Sales
Land or Lot Sales
Farm or Ranch Sales
Leasing
Property Management
Residential Appraising
Commercial Appraising
CMAs or BPOs
Auctioneering
Mortgage Brokering
Agent Owned Property
 
4. What was the average sale price of your residential transactions during the most recent 12 calendar months? $
 
5. Are you involved in any development/construction, mortgage brokering, REIT’s, sale of time shares, condo/association management? Yes No
 
6. Have you had any claims in the last 5 years? Yes No
 
7. What is the prior acts limitation date or retroactive date of your expiring E&O policy?
 
8. What percent of your transactions included a home inspection?
 
9. What percent of your transactions included a seller’s disclosure form?
 
10. What percent of your transactions were foreclosed properties?