Active Duty Law Enforcement

Professional Liability & Off Duty Firearms Liability

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Coverage Details

None

Deductible

$1,000,000

Aggregate Law Enforcement Professional Liability

Included

Off Duty Firearms Liability

Eligibility Requirements

No previously paid claims for law enforcement liability or improper use of a firearm

No previous felony conviction

Through years of working in the industry, The Campbell Group Inc. has discovered that many law enforcement professionals are personally exposed to lawsuits involving their employment. Such professionals also have significant exposure off duty to lawsuits for self- defense involving the use of a firearm. Our research revealed that there was NO insurance program in existence that provided adequate levels of coverage. Hence, the development of this very special offering.

Underwriting Insurer: Program Manager – The Campbell Group, Inc. – A Division of Acrisure
Insurer: Conifer Insurance Company
All-inclusive Premium: $250 ANNUALLY

Applicant Info

Applicant Information

Primary Applicant Name ^*

Primary Phone Number ^*

Primary Email ^*

Primary Physical Address

(Can not be P.O. Box or similar)

Street Address ^*

City ^*

State ^*

Zip Code ^*

Coverage Information

Requested Effective Start Date of Coverage ^*

Lawsuit Information

Have you ever been named as a defendant in a lawsuit with regard to your employment?

Yes

Have you ever been named as a defendant in a lawsuit with regard to use of a firearm?

Yes

Are you aware of any circumstances that reasonably may make you subject to a lawsuit against you?

Yes

Authorization/Disclosures

Disclosure/Authorization/Declarations

WARNING NOTICE: Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement, is guilty of insurance fraud.

The undersigned Applicant authorizes the Company, its agents, and representatives to secure claims information from my current and previous insurance carriers.

Acknowledgement, consent and waiver: Upon purchase coverage will be placed with Conifer Insurance Company which is rated by A.M. Best Company as B+. The agent, employees, independent contractors, directors and officers make no representation as to the financial status of the insurance carrier. The undersigned requests and grants authority to place coverage as described above.

The undersigned declares that to the best of their knowledge and belief the statements set forth herein are true. The signing of this application does not bind the undersigned to purchase insurance, nor does review of the application bind the insurer to issue a policy. It is agreed, however, that this application shall be the basis of the contract should a policy be issued.

It is imperative you read your policy closely. Without prior written approval from us, coverage is excluded for security operations involving: (1) establishments engaged in the primary business purpose of serving, dispensing or distributing alcoholic beverages; (2) government owned housing facilities; (3) bodyguarding of athletes, entertainers & celebrities; (4) screening of passengers or baggage at airports or mass transportation terminals; (5) bouncing and related activities; (6) repossessions, foreclosures or collections; (7) bounty hunting or fugitive recovery; (8) standing or mobile security at cannabis facilities

Signature

Typed name constitutes signature for application/disclosure purposes

Date

11/21/2024