ISO PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORMS EXPOSURE ANALYSIS CHECKLIST

(July 2024)

INTRODUCTION

This checklist is a starting point. Additional risk specific questions may arise as exposures are developed. This analysis should be combined with exposure analysis checklists for other coverages to develop a complete picture of the insured’s operations.

This checklist is designed to supplement the ACORD application.

Related Article: ISO Products/Completed Operations Liability Coverage Forms ACORD Forms Considerations

A list of endorsements may be helpful as you discuss exposures with your client.

Related Articles:

ISO Products/Completed Operations Liability Coverage Forms Endorsements Checklist

ISO Products/Completed Operations Liability Coverage Forms Available Endorsements and Their Uses

GENERAL INFORMATION

Legal business name(s)

____________________________________________________________________________________

____________________________________________________________________________________

Mailing address:

____________________________________________________________________________________

____________________________________________________________________________________

Email: _______________________________________________________________________________

Website: _____________________________________________________________________________

 

Type of entity:

___ Individual

___ Corporation

___ Sub-S Corp.

___ Partnership

___ Joint Venture

 

___ Not-for-profit

___ Limited Liability Company

 

 

SIC Code(s): _________________________________________________________________________

NAICS Code(s):_______________________________________________________________________             

Federal ID Number: ____________________________

When did the applicant begin business operations? ___________________________________________

 

When did the present management assume control? _________________________________________

How many years’ experience does the owner have in this type of business? _______________________

How many years’ experience does the manager have in this type of business? _____________________

Has the applicant ever been involved in a bankruptcy procedure? ___ Yes ___ No

If yes, explain the type of bankruptcy, the filing date, and the resolution.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Names of subsidiary companies or joint ventures that are not part of this application:

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Important People

Name

Phone Number

   Owner/Principal

____________________________

______________

   Other Decision Makers

____________________________

______________

   Plant and Grounds

____________________________

______________

   Financial

____________________________

______________

   Legal

____________________________

______________

   Claims

____________________________

______________

The applicant’s primary operations are:

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

The applicant’s secondary and/or incidental operations are:

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

The applicant used to be involved in the following operations, but they have been discontinued:

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

The hours of operations are: _____________________________________________________________

Does the applicant have a safety program? ___ Yes ___ No

If yes, answer the following:

Name of safety director: _________________________________________________________

Safety director phone number: __________________________________________________

Safety director email address:_____________________________________________________

Attach a copy of the safety program.

PRODUCTS EXPOSURES

Describe all the applicant’s products or services.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

If the product is a component part, describe the items of which it might become a part.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

If the product or service is defective or used improperly, describe the possible damage that could occur.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

COMPLETED OPERATIONS EXPOSURES

 

Who draws the plans, designs, or specifications?

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

 

Who is permitted to alter the plans, designs, or specifications?

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Is the customer consulted and required to sign off prior to alterations? ___ Yes ___ No

 

Describe customer acceptance of project procedures and documentation.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Describe the types of projects completed over the past five years.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________