Thank You For Using AE123

AE123 is a guaranteed issuance Professional Liability product for small architect & engineering firms. Qualifying risks must be under $250,000 in gross receipts and meet the underwriting criteria detailed in our Qualifying Questions. Once the insured has verified the information on the PDF with a signature, all you need to do is send the signed app to AE123@ProfessionalsBest.com and a policy will be issued within minutes. Producers will receive 17.5% commission on all AE123 business.

*Upon submission an email will be sent to you as the producer with a completed PDF, and an email will be sent to the Firm's primary contact requesting a signature for the application.

Thank You For Using AE123

AE123 is a guaranteed issuance Professional Liability product for small architect & engineering firms. Qualifying risks must be under $250,000 in gross receipts and meet the underwriting criteria detailed in our Qualifying Questions. Once the insured has verified the information on the PDF with a signature, all you need to do is send the signed app to AE123@ProfessionalsBest.com and a policy will be issued within minutes. 

Upon submission an email will be sent to the producer requesting electronic initials, then an email will be sent to the insured requesting a signature. Once signatures have been completed all parties will receive a final PDF copy. 

Disclosure

AE123 is written on a non-admitted basis through excess & surplus lines carriers. For questions regarding the AE123 policy form please contact AE123@professionalsbest.com.


Enter the official name of the agency you own or work for.
Producer First & Last Name*
A copy of the finalized application will be emailed to you upon clicking the submit button at the end.

AE123 Qualifying Questions (all answers must be "Yes" to proceed)

Quick-Rate Application Send Inquiries to: Riverton Insurance Agency Corp. c/o AE123 600 Main Street, Suite 2, Riverton, NJ 08077

The applicant firm is a licensed consulting design firm only working on residential projects, commercial office/mixed use projects, or public funded projects and not located in one of the territories above.*
The applicant firm averaged gross annual revenues in each of the last two years under $250,000 per year.*
The applicant firm is NOT a structural, geotechnical, soils, process, chemical, nuclear, marine, product design, machinery/equipment, or environmental firm.*
The applicant firm has NO ownership interest in an entity performing construction, manufacturing, or product design.*
The applicant firm has NO MORE than one (1) professional liability claim in the last five years, and the total expenses and damages were under $25,000.*
In the last five years the applicant firm generated NO MORE than 25% of billable hours related to inspection as a standalone service.*
In the last five years the applicant firm has NOT worked on a project related to Stadiums, Jails, Parking Structures, or Bridges spanning more than 250 feet*
In the last five years the applicant firm has NOT performed work on a project that had: Construction values over $25 million, or multi-unit residential capacity over 25 units.*

Unqualified

Unfortunately, This Firm Does Not Qualify for AE123. All qualification questions above must be answered "Yes" to qualify for AE123. Please Complete Standard Application Instead by going to https://AE123now.com and clicking Download Standard App.

Contact Information & Current Insurance

Please provide information on the applicant's contact information and current insurance programs.

Street Address*
Different Mailing Address?
Mailing Address (if different)
Applicant Primary Contact Name*
Upon submission an email will be sent to this address requesting a signature for the application.*
Does the applicant's firm currently maintain professional liability insurance?*
Expiration Date of current PL policy
Retroactive Date of current PL policy
Does the applicant's firm currently maintain general liability insurance?*
Expiration Date of current GL policy

Underwriting Questions

What number best approximates the average annual receipts for the applicant's firm over each of the last two years?
Which would best describe the applicant's professional discipline focus over the last two years?
Which best describes the applicant's project types over the last two years?
For how many years has the applicant's firm maintained continuous professional liability coverage?
Select the applicant's State and Territory
How many professional liability claims has the applicant's firm reported in the last five years?
What percent of the applicant's projects are delivered under written agreements?
Approximately what percentage of the applicant's client contracts contain a Limitation of Liability provision capping the firm's liability?
Approximately what percentage of the applicant's contracts or agreements are either standard AIA/EJCDC or reviewed by an outside professional?
Select the applicant's desired Professional Liability Limit
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Enter this number below.
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Additional Coverage

General Liability Coverage can be added for an additional $300. Please select "Yes" if the applicant would like to add GL coverage, otherwise select "No". For information regarding our GL coverage please contact AE123@professionalsbest.com.

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Taxes & Fees

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$
$
$
Please enter your Broker Fee. The Broker Fee will be retained by the wholesale brokerage. The licensed producer is responsible for state compliance regarding Broker Fees.
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In certain states AE123 is only available to Risk Purchasing Group members. If the field above is blank, RPG membership is not required. If a Risk Purchasing Group Fee is listed above, the full gross amount of the fee will be remitted to Riverton Insurance Agency Corp. along with the net total premium due.
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Total amount due for policy.
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Total amount due for policy.

Upon submission an email will be sent to the producer requesting electronic initials, then an email will be sent to the insured requesting a signature. Once signatures have been completed, all parties will receive a final PDF copy of the AE123 application. 

Please contact AE123@professionalsbest.com for any questions or concerns. 


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