Exhbit_Y-Ambridge_Partners_LLC-SIR_Package_Application-Exposure_Summary.pdf
PDF 30 KB Posted
- Attached to
- Excess Liability Insurance
- Solicitation number
- 2024-316
- Issued by
- Collin County, Texas
About this file
The document is an Exposure Summary form for Ambridge Partners LLC, which appears to be part of an insurance application for Collin County, Texas. The exposure summary provides a comprehensive inventory of the organization's operational details, including 1,912 full-time employees, 22 part-time employees, and 29 seasonal employees. The organization has 552 total vehicles, including 67 private passenger vehicles, 160 emergency vehicles, and 91 trailers. The form indicates no utility operations, no transit operations, and no healthcare facilities like hospitals or nursing homes.
The exposure summary is specifically related to an excess liability insurance proposal for Collin County, which seeks coverage with various self-insured retention (SIR) options ranging from $1,000,000 to $2,000,000 and coverage limits of $3,000,000 to $5,000,000. The insurance would cover multiple liability areas including commercial crime, professional liability, public officials errors & omissions, employment practices, employee benefits administration, law enforcement liability, and pollution coverage. The proposed contract term is three years with options to extend for two additional one-year periods, commencing upon award and final document execution.
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Text version
EXPOSURE SUMMARY
YES
PROPOSED EXPIRING % CHANGE NO
No. of Employees (Full Time) 1,912 0 NA
No. of Employees (Part-Time) 22 0 NA
No. of Employees (Seasonal) 29 0 NA
Population/Parishioners 0 NA
GOE (Gross Operating Expenditures) 0 NA
NOE (Net Operating Expenditures) 0 NA
No. of EMTs 0 0 NA Nurses (Medical Malpractice Coverage may be Excluded) 14 0 NA Physicians (Medical Malpractice Coverage is Excluded) 2 0 NA Psychiatrist (Medical Malpractice Coverage is Excluded) 0 0 NA Other Medical Staff (Medical Malpractice Coverage is Excluded) 3 NA
No. of Schools 0 0 NA
No. of Students/ADA 0 0 NA
No. of Athletes 0 0 NA
No. of Teachers 0 0 NA
No. of Pools 1 0 NA
No. of Dorms 0 0 NA
Stadiums - Total Capacity 0 0 NA
Do they have separate Travel Insurance policies? (Yes or No) 0 0 NA
Do they have separate Student Accident Insurance policies? (Yes or No) 0 0
Utility - Electric* (Yes or No) NO 0 *If yes, fill out Utilities Supplemental Application
Utility - Gas* (Yes or No) NO 0 *If yes, fill out Utilities Supplemental Application
Utility - Water* (Yes or No) NO 0 *If yes, fill out Utilities Supplemental Application
No. of Dams/Levees Over 300'* 0 0 *If yes, fill out Dams/Levees/Reservoirs Application
No. of Bridges Over 300' 1 0
No. of Tunnels 0 0 NA
No. of Ports 0 0
No. of Vehicles (Total All Types) 552 0 NA
Private Passenger Vehicles 67 0 NA
# Vans/Medium Trucks 31 0 NA
Emergency Vehicles 160 NA
Trucks 122 0 NA
Buses 16+ Seats 1 0 NA
8-15 Seat Passenger Vehicles 80 0 NA
Trailers 91
All Other Vehicles (other than Mobile Equipment or Watercraft) 0 0 NA
Do you have transit operations?* (Yes or No) No 0 *If yes, fill out Transit Application
No. of Aircraft 0 0 NA No. of Airports (Premises Only Coverage will be Provided) 0 0 NA
Convention/Exhibition Center - Total Capacity 0 NA
No. of Fairs/Amusement Parks 0 0 NA
No. of Fairgrounds 0 0 NA
No. of Swimming Pools/Lakes/Reservoirs 3 0 NA
2 No. of Wharves/Piers/Docks/Marinas 2 0 NA
No. of Golf Courses 0 0 NA
No. of Zoos/Ski Facilities 0 0 NA
No. of Section 8 / Public Housing Units 0 0 NA
LIMITED MEDICAL COVERAGE
Adoption/Foster Care Services* (Yes or No) No 0 No Orphanages/Children's Group Homes* (Yes or No) No 0 No Mental Institutions* (Yes or No) NO 0 NO Hospitals* (Yes or No) No 1 No No. Of Day Care Centers (No. of Children) No 0 No
No. Of Nursing Homes* N/A No N/A
No. Of Nursing Homes* N/A 0 N/A *If yes, fill out Social Services Application
Total No. Of Nursing Homes Beds N/A 0 N/A
No. Of Skilled Nursing Homes Beds N/A 0 N/A
No. Of Intermediate Nursing Homes Beds N/A 0 N/A
No. Of Residential Nursing Homes Beds N/A 0 N/A
No. Of Independent Nursing Homes Beds N/A 0 N/A
*If the Assured has this exposure, please submit supplemental applications (see the checklist section)
Please voluntarily disclose any additional exposures that you feel may influence the judgment of underwriters when they assess this account.
PSI v20091201
File details come from the government source that posted it. Updated .