Agents, please email, mail or fax the completed ChemPlan application,
along with the additional information outlined below, to:

8121 Vicela Drive
Sarasota, FL 34240
Fax: 941-379-2668

Submission Requirements:
  • ChemPlan application and any engineering information (including sprinkler reports, plot plan, most recent loss control recs and response, etc.)
  • Acord applications and Business Interruption/Extra Expense worksheets
  • Copy of dec and endorsements from current pollution legal liability policy (if any)
  • 5 years (or back to retro date if longer) currently valued carrier loss runs and details on any claims over $20,000
  • Product brochure & MSDS sheets (top 5 products and any 3 or 4 on NFPA index) and list of products sold over the past 12 months by sales volume and shipping volume
  • Audited or reviewed financials
  • Target Pricing
NOTE: As a managing underwriter, ChemPlan is not licensed to deal directly with prospective chemical company customers. Please discuss your interest with your local independent insurance agent. Your agent can then contact ChemPlan.
ChemPlan    |    8121 Vicela Drive    |    Sarasota    |    Florida    |    34240
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