Loss of Income Insurance Application - Alliance for Contractors

ALLIANCE FOR CONTRACTORS

Loss of Income Insurance Application

Business Interruption Coverage | Priority: Medium

Application Overview

This comprehensive business interruption insurance application provides coverage for lost income, continuing expenses, and operational disruption. Our integrated approach combines financial performance tracking with business continuity planning to ensure accurate coverage determination and rapid recovery capabilities.

Coverage Benefits

  • Lost income protection during business interruption
  • Continuing expense coverage for ongoing operational costs
  • Customizable coverage periods with flexible benefit calculations
  • Integrated disaster recovery and business continuity services
  • Real-time financial performance tracking and analysis

Business Information

Financial Information

Financial Metric Current Year Previous Year Two Years Ago
Gross Annual Revenue
Net Annual Income
Monthly Operating Expenses
Alliance Integration: Financial Performance Tracking

Our advanced financial analysis system automatically tracks your business performance metrics, providing real-time insights for accurate coverage determination and premium adjustments based on actual business cycles.

Coverage Period Selection

Income Calculation Methods

Available Calculation Methods

Continuing Expenses Coverage

Select the continuing expenses you want covered during business interruption:

Expense Category Monthly Amount Essential During Interruption
Total Payroll
Facility Costs (Rent/Mortgage)
Equipment Payments
Other Fixed Expenses

Operational Disruption Assessment

Risk Assessment & Disaster Recovery Planning

Alliance Integration: Business Continuity Services

Our comprehensive disaster recovery services include risk assessment, emergency response planning, and rapid recovery coordination to minimize business interruption and accelerate your return to full operations.

Additional Coverage Options

Application Submission & Next Steps

Required Documentation

Please ensure the following documents are ready for submission:

  • Three years of financial statements or tax returns
  • Current profit and loss statements
  • Business license and registration documents
  • Property lease agreements or ownership documents
  • Equipment inventory and valuation
  • Existing business continuity or disaster recovery plans
Alliance Advantage: Comprehensive Support

Upon application submission, your dedicated Alliance representative will:

  • Conduct a comprehensive risk assessment of your operations
  • Review and optimize your coverage selections
  • Integrate financial tracking systems for ongoing monitoring
  • Develop customized business continuity recommendations
  • Provide ongoing support and claim assistance

Applicant Certification

I certify that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any misrepresentation or omission of material facts may void coverage. I authorize Alliance for Contractors to verify the information provided and to obtain additional information as needed for underwriting purposes.

Applicant Signature

Date

Alliance for Contractors
Phone: 1-800-ALLIANCE | Email: [email protected]
Visit us at: www.alliancecontractors.com