Date:

Agent Name: Agency Code:

Insured Name: Policy/Billing Account #:

Does your customer need commercial umbrella liability coverage? In preparing your customer’s renewal policy, we noticed that commercial umbrella liability coverage is not included. To ensure your customer is adequately protected in the event of a loss, we have taken the liberty to include a quote for this important coverage.

Limit Premium $1,000,000 $2,000,000 $3,000,000

Large liability claims exceeding the limits of your customer’s general liability, auto, and/or workers compensation policies could cause severe financial difficulty—or even bankruptcy.

Commercial umbrella liability insurance takes over where coverage for underlying policies stops, enabling your customers to guard against the impact of inflation and manage the financial exposure of the business more effectively. For example, a $1 million limit on a policy taken out 10 years ago is now worth just $490,000 to $590,000 in today’s dollars.

That is why there’s no better investment than commercial umbrella liability insurance to protect the financial and time commitment your customers make to build their business!

Round out your customer’s account with commercial umbrella liability coverage Please review this quote with your customer and discuss the importance of adding coverage.

To accept this quote: 1. Check the box next to the desired limits above and sign this form to accept the quote 2. Fax this form to our Processing Center: 866.220.6350

______Agent Signature

Or, e-mail us via the CL Business mailbox at [email protected]. Please indicate the desired limits and your acceptance of the quote.

If you have questions or need additional information, please contact your commercial lines territory manager or commercial lines underwriter.

Note: These quotes are based upon our knowledge of the insured's underlying policies because we insure/will insure the underlying general liability and automobile liability. Other underlying exposures not covered by these policies are not currently included in the umbrella premiums quoted above. If the general liability or automobile liability does not renew with Harleysville, the above quotes are null and void.

Z-1356 5/10 Umbrella Quote Cover Sheet – Renewal