REQUEST FOR NO OBLIGATION QUOTE

Complete the information below and click the Submit button to send it to UIG Union Insurance Group for a FREE, NO OBLIGATION QUOTE of your labor organization's business insurance.

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UNION: LOCAL NUMBER:
STREET ADDRESS: BUSINESS MANAGER:
CITY: PHONE:
STATE, ZIP: FAX:
POLICY EXPIRATION DATE: CURRENT CARRIER:
VALUE OF YOUR BUILDING? VALUE OF YOUR CONTENTS?
IF BUILDING OWNER, BUILDING’S SQUARE FOOTAGE: IF TENANT, SQUARE FOOTAGE LEASED:
IS YOUR BUILDING SPRINKLERED?

VALUE OF YOUR COMPUTER EQUIPMENT?
BUILDING AGE/YEAR BUILT: NUMBER OF COMPUTER UNITS?
CONSTRUCTION OF BUILDING: FRAME MASONRY STEEL OTHER
LIST ALL VEHICLES OWNED OR LEASED BY THE UNION:
VEHICLE
YEAR
MAKE
MODEL
CITY WHERE GARAGED
COST NEW
1.
2.
3.
4.
TOTAL ANNUAL PAYROLL OF: NO. OF EMPLOYEES:
BUSINESS MANAGERS, AGENTS, & ORGANIZERS: 8755: F/T P/T
CLERICAL STAFF: 8810: F/T P/T
APPRENTICESHIP COORDINATORS, INSTRUCTORS/TEACHERS: 8868: F/T P/T
ANNUAL LOSS-TIME PAY TO MEMBERS:      
DOES THE LABOR ORGANIZATION HAVE ANY OF THE FOLLOWING POLICIES:
LOCALS / REGIONAL/DISTRICT COUNCILS: HEALTH / WELFARE / PENSION / TRAINING FUNDS:
UMBRELLA/EXCESS LIABILITY FIDUCIARY LIABILITY
UNION LIABILITY ERISA FIDELITY BOND
LOCAL’S ACTIVE MEMBERSHIP: IF APPLICABLE, NO. OF APPRENTICES?
LABOR ORGANIZATION SPONSORED SPECIAL EVENTS:
LIST LOSSES/CLAIMS WITHIN THE PAST THREE YEARS: