Surplus Lines Disclosure — Commercial Property

This letter provides required surplus lines disclosures when a commercial property claim is being handled under a non-admitted or surplus lines policy.

1. Introduction

Dear {{named_insured}},

We are writing to acknowledge your claim for {{claim_type}} to your commercial property at {{loss_location}}, reported under claim number {{claim_number}} for the loss occurring on {{date_of_loss}}.

2. Surplus Lines Disclosure

Your policy, number {{policy_number}}, was placed through the surplus lines market. As required by law, please be advised of the following:

**This insurance contract was placed with {{surplus_lines_carrier}}, a non-admitted insurer.** Non-admitted insurers are not covered by the {{state_guaranty_fund_name}}. In the event of the insolvency of the non-admitted insurer, the policyholder is not protected by the guaranty fund provisions of the {{state_insurance_code_reference}}.

3. Surplus Lines Broker Information

This policy was placed through surplus lines broker {{broker_name}}, license number {{broker_license_number}}, located at {{broker_address}}.

4. Claim Handling

Even though this is a surplus lines policy, your claim will be handled in accordance with all applicable claims handling regulations of the state of {{state_name}}. You are entitled to the same prompt, fair, and equitable handling of your claim as with an admitted carrier.

5. Claim Assignment

Your claim has been assigned to:

• Adjuster: {{adjuster_name}}
• Phone: {{adjuster_phone}}
• Email: {{adjuster_email}}

Please do not hesitate to contact us with any questions regarding your claim or the surplus lines nature of your policy.

Sincerely,

{{adjuster_name}} {{adjuster_title}} {{company_name}}