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Specialty Underwriting | Oilfield Pumper/Gauger Program Building solid, professional relationships is the foundation of success. U.S. Risk is committed to this concept and considers it one of the

Network Security & Privacy Liability System Business Interruption Privacy Regulatory Liability Privacy Breach Expenses Professional Liability Multimedia Liability Reputational Harm Cyber

Take1 is a division of U.S. Risk, LLC and its affiliate companies. U.S. Risk, Take1, and the Take1 logo are registered trademarks of U.S. Risk Insurance Group, Inc. Copyright ©2022 U.S. Risk

OUR TOP CLASSES COVERAGES AVAILABLE ■ Professional and General Liability ■ Data Breach ■ Employee Benefits ■ Sexual Abuse/Molestation COVERAGE HIGHLIGHTS ■ Covers employees, directors,

Scottsdale Insurance Company Home Office: One Nationwide Plaza Columbus, Ohio 43215 Adm. Office: 8877 North Gainey Center Drive Scottsdale, Arizona 85258 Scottsdale Indemnity Company Home

Scottsdale Insurance Company Home Office: One Nationwide Plaza Columbus, Ohio 43215 Adm. Office: 8877 North Gainey Center Drive Scottsdale, Arizona 85258 Scottsdale Indemnity Company Home

Scottsdale Insurance Company Home Office: One Nationwide Plaza Columbus, Ohio 43215 Adm. Office: 8877 North Gainey Center Drive Scottsdale, Arizona 85258 Scottsdale Indemnity Company Home

Scottsdale Insurance Company Home Office: One Nationwide Plaza Columbus, Ohio 43215 Adm. Office: 8877 North Gainey Center Drive Scottsdale, Arizona 85258 Scottsdale Indemnity Company Home

U.S. Risk | 14241 Dallas Parkway, Suite 850, Dallas, Texas 75254 U.S. Risk is a Division of Innovation Growth Partners Specialty, LLC Rev. 11.25.24 Individual Claim Data Report APPLICANT

U.S. Risk | 14241 Dallas Parkway, Suite 850, Dallas, Texas 75254 Miscellaneous Professional Liability Application PAGE 1 OF 4U.S. Risk is a Division of Innovation Growth Partners Specialty, LLC

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PAGE 1 OF 2U.S. Risk is a division of Innovation Growth Partners Specialty, LLC | Rev. 01.14.25 Cybercrime Questionnaire U.S. Risk | 14241 Dallas Parkway, Suite 850 | Dallas, Texas 75254 1

GENERAL INFORMATION 1. Name & Address of Applicant: 2. Restaurant Trade Names: 3. Contact Person: Name: Title: Phone: Email: 4. Years in

Managed by: Scott Carroll, Director of Take1 1551 N. Tustin Ave., Suite 430 Santa Ana, CA 92705 Phone: (800)856-7035 scott@take1insurance.com Application For the Rental & Staging, Event