ProTect Painters RS Insurance Letter
brought to you by Kapnick Insurance Group the preferred insurance vendor for ProTect Painters

Dear new ProTect Painter Owner: This letter has been created to assist you with a very important task in setting up your business—obtaining the appropriate insurance to protect your business and your financial security. Please personalize this letter to your situation and answer all questions that apply. Do this right away. Time and time again our experience has been that it ALWAYS takes longer to work through this process than anticipated. Please be advised that you cannot attend Initial Training without having submitted all of your insurance certificates to your new business manager prior to training. When you have completed his letter, please e-mail it to Stew or Brad at Kapnick Insurance to receive your quote.

KAPNICK INSURANCE CONTACTS

Stewart V. Nelson (Stew) Kapnick Insurance Group Office (888)263-4656 ext 1140 Fax (734)994-7326 Stewart.Nelson@Kapnick.com http://www.kapnickinsurance.com/

Brad Labadie Kapnick Insurance Group Office (888)263-4656 ext 1178 Fax (734)994-7326 Brad.Labadie@Kapnick.com http://www.kapnickinsurance.com/

Tentative Training Date: Open for Business Date:

Legal Name:

d/b/a:

Physical Address:

Mailing Address:

Primary Contact:

Office Phone: Cell Phone:

E-Mail Address:

This is a home based business Yes No I am incorporated (C-Corp, S-Corp, LLC.) C-Corp S-corp LLC

Federal Tax Identification Number:

General Liability (G/L)

a. The required minimum limits are:

$2,000,000 Aggregate

$1,000,000 Per Occurrence

$2,000,000 Products/Completed Operations

$1,000,000 Personal and Advertising Injury

b. This G/L policy should be in the form of a Package or Business Owners Policy, with endorsement CG 20 29 – Additional Insured – Grantor of Franchise

c. List Protect Painters International, LLC, 3948 Ranchero Drive , Ann Arbor , MI 48108 , as an Additional Named Insured.

Annual Estimated Subcontracting Costs ($40,000 estimated Year 1.)

Property Insurance

Requested Business Property Values:

Contents: (Computer phone and fax $3,500 suggested)

Small Tools and Equipment Owned: ($500 for ladders, hand tools etc suggested)

Building/Residence Information:

Age:

If Building/Home is over 25 years – Updates done:

Heating

Plumbing

Electric

Roof

Additional Interests/Landlord Information (if applicable-- If not a home office)

Worker’s Compensation & Employer’s Liability (REQUIRED IN ALL STATES)

Franchises in “monopolistic” states ( Ohio , West Virginia , North Dakota , Ohio and

Washington State ) must have “Stop Gap” coverage. This can be added to General

Liability policy or issued as a stand alone workers’ compensation policy.

Please insert your annual estimated salary, payroll:

Owners Salary (8810): $20,000 suggested)

Painting (5476): “If Any”

Vehicle Insurance

a. Required minimum is $1,000,000 combined single Limits (bodily injury and property damage) include hired and non-owned cars.

b. Insurance coverage must not have a deductible or self-insured retention greater than $5,000.

c. Uninsured and Underinsured motorist limits $1,000,000

Vehicle Information:

For all leased and\or owned automobiles please insert the following information:

Year Make/Model Cost New VIN Lease Own

Vehicle Lessor (if leased) or Lien Holder (if purchased) Information

Name Address City

State Contact Person E-Mail

Driver Information:

At least one driver must be listed for each vehicle. Please include all drivers (owners and employees):

1.) Name D/O/B

Driver’s License# and State

2.) Name D/O/B

Driver’s License# and State

3.) Name D/O/B

Driver’s License# and State

4.) Name D/O/B

Driver’s License# and State

Employee Dishonesty (Third Party coverage)

a. Minimum Required Limit $50,000 per loss

Umbrella Liability

a. Minimum Required Limit: $1,000,000

Other Coverages Worth Considering

Not required by Franchise Agreement but highly recommended.

a. Employment Related Practices Liability

b. Flood Insurance

c. Key Man or Buy/Sell Life Insurance

d. Disability Insurance

e. Identity Theft Insurance

Thank you for your prompt reply to this request we look forward to working with you on your insurance and risk management needs.