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Technical Consultants Supplemental Application doc 2025

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The document is a Technical Consultants Supplemental Application for Professional Liability Errors & Omissions Insurance, intended for preliminary evaluation by underwriters. It requires detailed information about the applicant's consulting services, annual revenues, and specific areas of expertise, including environmental consulting and asbestos-related services. The application also includes sections on laboratory services and requires certification and signature from a principal or officer of the firm.

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Click ‘Get Form’ to open the Technical Consultants Supplemental Application in the editor.
Begin by filling out the section regarding annual revenues derived from consulting services. Enter the estimated percentage for the next fiscal year and last fiscal year for each listed service, such as Medical Products and Environmental Impact Studies.
Indicate whether your firm provides removal or clean-up services by selecting 'Yes' or 'No'.
Next, specify if your firm offers engineering or design services by checking the appropriate box.
If applicable, provide details about any patents held by your firm in the designated area.
Complete the section on laboratory services by indicating the percentage of work performed by your own laboratory and attaching your current laboratory license/certificate.
Finally, ensure that a Principal, Partner, Officer, or Director signs and dates the application in the certification section.

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