YOUR CRIME INSURANCE SUBMISSION MUST INCLUDE THE FOLLOWING FOR:

Mercantile and Governmental Classes of Business:

1. Coverage Application

• 125s ACORD General Info and 141s ACORD Crime

OR

• Surety Association Application for Forms A,B,O,P

OR

• Great American Insurance Companies� Commercial Crime Application

2. Internal Controls Questionnaire
3. Latest fiscal year end CPA Audit or Annual Report
4. Latest CPA management letter and response
5. Special Exposures and policy wording enhancements should be identified.

Financial Institution Classes of Business, Forms 24, 14,15, and 25:

1. Coverage Application

• Surety Association Application
  (Note: Other Company's signed applications are usually acceptable)

2. Internal Control Questionnaire

(Please Note that a separate Financial Institution Internal Controls Questionnaire should be included if the application does not address Internal Controls in detail.)

3. Financial Information

• Latest Fiscal year end, CPA Audit or Annual Report
• Latest CPA Management Letter and Response
• 12-31 CALL Report
• Latest Quarterly Call Report

4. Special exposures and policy wording enhancements should be identified.

ADDITIONAL INFORMATION MAY BE REQUIRED. APPLICATION REQUESTS DO NOT GUARANTEE AUTOMATIC ACCEPTANCE BY GREAT AMERICAN INSURANCE COMPANIES�.

FOR MORE INFORMATION PLEASE CONTACT US AT ANY OF OUR LOCATIONS.