This application is for a policy that is limited generally to liability for only those claims that are first made against the insured whilst the policy is in force. Please review the policy carefully and discuss the coverage thereunder with your insurance agent or broker. Describe in the following answers the precise nature of your operation. Please attach a brochure and letterhead of your firm as well as a list of your ten largest jobs.
I/We (Applicant/Firm) declare that the above statements and particulars are true and that no facts have been suppressed or misstated and agree that this proposal form shall be the basis of any policy of insurance which may be issued by Underwriters and shall be deemed a part thereof. In addition, Proposer agrees and acknowledges that if Proposer, subsequent to the completion of this proposal, becomes aware of any changes in the statements and particulars contained herein, that Applicant/Firm shall immediately advise Underwriters of such changes. It is further understood and agreed that upon receipt of such supplemental advises, Underwriters may alter or withdraw any quotation previously offered, or amend the terms of or cancel any policy which has been issued based upon that statement and particulars contained herein.