CHART Syndicate Survey

Thank you for taking the time to complete this important survey. It should only take about 8 minutes to complete. And for eight minutes of your time we will give you a forum to help shape our group!

Coverholders and Risk Takers Exchange (CHART) = "to give something for something else."

NOTE: All information will be treated as confidential. No specific details regarding your program will be released to anyone without your prior authorization.

* 1. General Syndicate Information

* 2. Number of U.S.-based Coverholders Syndicate does business with annually:

* 3. In which product lines does the Syndicate specialize (check all that apply)?

* 4. Please provide a brief overview of the Carrier’s underwriting philosophy as it relates to the delegation of authorities to U.S.-based agencies: