Edward E. Hall & Company
AUTO DEALER PROGRAM
www.EEHallAutoDealer.com
P: 631-547-6003
F: 631-547-1712

Non Binding "Ball-Park" Indication
Corporate Identity Theft Quote Indication Worksheet

Named Insured:
Address of Insured:
City:
State:
Zip Code:
Contact Person:
Phone:
Fax:
Email:
Annual Revenue:
Does applicant have the following in place:
1. A person or group responsible for information security?
2. A virus protection program?
3. A firewall protection program?
4. A software update process that includes anti-virus and software release updates?
5. An Information Security Policy currently in place documenting security responsibilities and testing?
6. An Information Security Incident Response Plan currently in place covering unintended release, theft or loss of personal information?
7. Encrypt all sensitive and personally identifiable information?
8. How many vehicles are sold annually?
9. What is the average cost of vehicles sold?
10. Please select Limit Options.




To Bind this indication a completed and signed Corporate Identity Theft Application is required. We reserve the right to amend the Indication subject to receipt, review and acceptance of the completed and signed Corporate Identity Theft Application. For a detailed description of the terms of the policy and any endorsements you must refer to the policy itself.