PUMP

The Pump program is available to independent agents in the U.S.
You must be approved to write business with Willis Programs before you we can bind coverage for your client. If you are not, please visit our “Writing Business With Us” page. In an instance where the same submission is received from more than one broker, a Broker of Record letter determines control.

The submission should include the following:

Acord Application
New Business PUMP Supplemental Questionnaire
Bulk Lubricants Supplemental
Fuel and Oil Dealers Supplemental
LP Gas Addendum
Liquor Supplemental
Tractor Trailer Addendum
Convenience Store Addendum
General Liability Classification Supplement
VIN Numbers (There should be 17 digits)
Description of operations
Zip codes (including Zip Codes Garaging Locations on Auto application)
FEIN, Plate Type and registration number and or copy of vehicle registration in states that require Auto Liability Insurance Reporting
Driver’s List to include: Name, Date of birth, License number, and state
Statement of Values
MVR’s for all drivers
Five (5) Year Currently Valued Loss Runs
General Liability Classification Supplement on accounts with multiple operations

PUMP

Send completed applications to:

Robin Pisecki, Program Manager
Pump Insurance Program
Toll Free: (800) 332-5564
Direct Phone: (860) 756-7367
Fax: (860) 520-1145
Email: robin.pisecki@willis.com