Hendrickson Insurance · Sarasota, Florida

Directors & officers application.

For Gulf Coast nonprofits, associations, HOAs, and private companies in Sarasota, Bradenton, Tampa, and St. Petersburg. Directors and officers (D&O) insurance protects the personal liability of your board and officers when they are sued over a decision. Tell us about the organization and we build the quote. Estimates are fine where you are not sure.

A. Organization Information

Legal / organization name *

Required.

DBA (if any)

What does the organization do? *

Required.

Website

Contact name *

Required.

Phone *

Required.

Email *

Enter a valid email.

Address *

Required.

City

State

ZIP

Years in operation

B. Organization Profile

Annual revenue / budget

Total assets

# of employees

# of board members / directors

# of members (if association/HOA)

# of units (if HOA/condo)

C. Coverage Requested

Limit requested

$1,000,000 $2,000,000 $5,000,000 Not sure, advise me

Deductible / retention preference

D. Prior Insurance & Claims

Current D&O carrier (if any)

Policy expiration date

If yes, list date, type, and outcome/amount

E. Acknowledgement

I certify that the information above is true and complete to the best of my knowledge. Submitting this form does not bind coverage; coverage is subject to underwriting approval and payment of premium.

Typed signature (full name) *

Required.

Date *

Required.

I agree to the statement above. *

Please confirm to submit.

Back

✓

Thank you — application received

Dennis will review it and follow up shortly with your quote. Questions? Call or text 941-957-2796.

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Why Hendrickson Insurance. Sarasota, Florida

One agent. Both lines. Every point played.

Dennis Hendrickson changed a New Jersey state tennis rule at 17 and played four years of Division I tennis at UNC Charlotte. Today he writes both the commercial and the personal insurance for Gulf Coast owners himself, and he works a renewal or a claim the way he played: nothing conceded, no point given away.

When you apply, he answers. Every application goes straight to Dennis. He reads it himself and responds the same business day in most cases, always within 48 hours.

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