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https://completemarkets.com/Affidavits-Insurance/Storefronts/

https://completemarkets.com/company/allstar/lost-instrument-bonds/
... and witnessed applications and affidavits to start underwriting. Each case is...

https://completemarkets.com/Article/article-post/1513/Basic-Facts-About-Registering-A-Trademark-Part-5/
Basic Facts About Registering A Trademark, Part 5
Part 5 of 5 Statement of Use Under 37 CRF 2.88 With Declaration to the Assistant Commissioner for Trademarks Applicant Name: Notice of Allowance Issue Date: Applicant requests registration of the above identified trademark/service mark in the U.S. Patent and Trademark Office on the Principal Register established by the Act of July 5, 1946 (15 U.S.C. 1051 et. seq., as amended). Three specimens per class showing the mark as used in commerce are submitted with this statement.  Check here if a Request to Divide under 37 C.F.R. 2.87 is being submitted with this statement. Applicant is using the mark in commerce on or in connection with the following goods/services: (check one)  Those goods/ services identified in the Notice of Allowance in this application.  Those goods/services identified in the Notice of Allowance in this application except: (identify goods/services to be deleted from application) Date of first use of mark in commerce that the U.S. Congress may regulate: Specify type of commerce (e.g. interstate, between the United States and a specified foreign country): The undersigned, being hereby warned that willful and false statements and the like so made are punishable by fine, imprisonment, or both under 18 U.S.C. 1001, and that such willful false statements may jeopardize the validity of the application or any resulting registration, declares that he/she is properly authorized to execute this Statement of Use on behalf of the applicant; he/she believes the applicant to be the owner of the trademark/service mark sought to be registered; the trademark/service mark is now in use in commerce; and all statements made of his/her own knowledge are true and all statements made on information and belief are believed to be true. ________________________________ ______________________________ Date Signature ________________________________ ______________________________ Telephone Number Print or Type Name and Position Instructions and Information for Applicant In an application based upon a bona fide intention to use a mark in commerce, applicant must use its mark in commerce before a registration will be issued. After use begins, the applicant must submit, along with evidence of use (specimens) and the prescribed fee(s), either: Amendment to Allege Use under 37 C.F.R. 2.76 , or Statement of Use under 37 C.F.R. 2.88 The difference between these two filings is the timing of the filing. Applicant may file an Amendment to Allege Use before approval of the mark for publication for opposition in the Official Gazette, or, if a final refusal has been issued, prior to the expiration of the six-month response period. Otherwise, applicant must file a Statement of Use after the Office issues a Notice of Allowance. The Notice of Allowance will issue after the opposition period is completed if no successful opposition is filed. Neither Amendment to Allege Use nor Statement of Use papers will be accepted by the Office during the period of time between approval of the mark for publication for opposition in the Official Gazette and the issuance of the Notice of Allowance. Applicant may call (703) 305-8747 to determine whether the mark has been approved for publication for opposition in the Official Gazette. Before filing an Amendment to Allege Use or a Statement of Use, applicant must use the mark in commerce on or in connection with all of the goods/services for which applicant will seek registration, unless applicant submits, with the papers, a request to divide out from the application the goods or services to which the Amendment to Allege Use or Statement of Use pertains. (See 37 C.F.R. 2.87, Dividing an Application.) Applicant must submit with an Amendment to Allege Use or a Statement of Use: Appropriate fee of $100 per class of goods/services listed in the Amendment to Allege Use or the Statement of Use, and Three (3) specimens or facsimiles of the mark as used in commerce on all the goods/services in the class. Applicant must identify the particular item to which the dates apply. Only the following person may sign the verification of the Amendment to Allege Use, depending on the applicant's legal entity: (a) the individual applicant; (b) an officer of corporate applicant; (c) one general partner of partnership applicant; (d) all joint applicants. Mail completed form to: Assistant Commissioner for Trademarks Attn: AAU 2900 Crystal Drive Arlington, VA 22202-3513 Request for Extension of Time Under 37 C.F.R. 2.89 to File a Statement of Use, With Declaration To the Assistant Commissioner For Trademarks Applicant Name: Notice of Allowance Mailing Date Applicant requests a six-month extension of time to file the Statement of Use under 37 C.F.R. 2.89 in this application.  Check here if a Request to Divide under 37 C.F.R. 2.87 is being submitted with this request. Applicant has a continued bona fide intention to use the mark in commerce on or in connection with the following goods/services: (check one below)  Those goods/services identified in the Notice of Allowance in this application.  Those goods/services identified in the Notice of Allowance in this application except: (identify goods/services to be deleted from application) This is the ___ request for an Extension of Time following mailing of the Notice of Allowance. If this is not the first request for an Extension of Time, check one box below. If the first box is checked, explain the circumstance(s) of the non-use in the space provided:  Applicant has not used the mark in commerce yet on all goods/services specified in the Notice of Allowance; however, applicant has made the following ongoing efforts to use the mark in commerce on or in connection with each of the goods/services specified above:  Applicant believes that it has made valid use of the mark in commerce, as evidenced by the Statement of Use submitted with this request; however, if the Statement of Use does not meet minimum requirements under 37 C.F.R. 2.88 (e), applicant will need additional time in which to file a statement. The undersigned, being hereby warned that willful false statements and the like so made are punishable by fine, imprisonment, or both, under 18 U.S.C. 1001, and that such willful false statements may jeopardize the validity of the application or any resulting registration, declares that he/she is properly authorized to execute this Request for an Extension of Time to File a Statement of Use on behalf of the applicant, and that all statements made of his/her own knowledge are true, and all statements made on information and belief are believed to be true. __________________________________ ___________________________ Date Signature ________________________________ ____________________________ Telephone Print or Type Name and Position Instructions and information for Applicant Applicant must file a Statement of Use within six months after the mailing of the Notice of Allowance in an application based on a bona fide intention to use a mark in commerce, unless within that same period, applicant submits a request for a six-month extension of time to file the Statement of Use. The written request must: Be received in the PTO within six months after the mailing of the Notice of Allowance, Include applicant's verified statement of continued bona fide intention to use the mark in commerce, Specify the goods/services to which the request pertains as they are identified in the Notice of Allowance, and Include a fee of $100 for each class of goods/services. Applicant may request four further six-month extensions of time. No extensions may extend beyond 36 months from the issue date of the Notice of Allowance, unless a submitted Statement of Use indicating that applicant has made valid use of the mark in commerce is found by the PTO to be defective, in which applicant will need additional time to file a new statement of use. Only the following person may sign the verification of the Request of Extension of Time, depending on the applicant's legal entity: the individual applicant; an officer of corporate applicant; one general partner of partnership applicant; all joint applicants. Fees are effective through 9/30/95 and subject to change, usually on October 1. Mailing Instructions Mail completed form to: Assistant Commissioner For Trademarks Box ITU/Fee 2900 Crystal Drive Arlington, VA 22202-3515 You can ensure timely filing of this form by following the procedure described in 37 CRR 1.10 as follows: On or before the due date for filing this form, deposit the completed form with the U.S. Post Office using the "Express Mail Post Office to Addressee" Service; Include a certificate of "Express Mail" under 37 C.F.R. 1.10. Papers properly mailed under 37 C.F.R. 1.10 are considered received by the PTO on the date that they are deposited with the Post Office. When placing the certificate directly on the correspondence, use the following language: Certificate of Express Mail Under 37 C.F.R. 1.10 Express mail mailing label number: Date of Deposit: I hereby certify that this paper and fee is being deposited with the United States Postal Service "Express Mail Post Office to Addressee" service under 37 C.F.R. 1.10 on the date indicated above and is addressed to: The Assistant Commissioner for Trademarks 2900 Crystal Drive Arlington, VA 22202-3513 ________________________________ ________________________ (Typed or printed name of person mailing (Signature of person mailing paper & fee) paper & fee) This form ought to take 15 minutes to complete, including time required for understanding instructions, gathering necessary information, record keeping and actually providing the information. Any comment on the amount of time you require to complete this form should be sent to: The Office of Management and Organization U.S. Patent and Trademark Office U.S. Department of Commerce Washington, DC 20231 and to: The Office of Information and Regulatory Affairs Office of Management and Budget Washington, DC 20503 Do not send forms to either of these addresses. Trademark Processing Fees 361 2.6 (a) (1) Application for registration, per class .................................. $245.00 362 2.6 (a) (2) Filing an Amendment to Allege Use Under 1 (c), per class 363 2.6 (a) (3) Filing a Statement of Use under 1 (d) (1), per class 100.00 364 2.6 (a) (4) Filing a Request for a Six Month Extension of Time for Filing a Statement of Use under 1 (d) (1) per class 100.00 365 2.6 (a) (5) Application for renewal, per class 300.00 366 2.6 (a) (6) Additional fee for late renewal, per class 100.00 367 2.6 (a) (7) Publication of mark under 12 (c), per class 100.00 368 2.6 (a) (8) Issuing new certificate of registration 100.00 369 2.6 (a) (9) Certificate of Correction 100.00 370 2.6 (a) (10) Filing disclaimer to registration 100.00 371 2.6 (a) (11) Filing amendment to registration 100.00 372 2.6 (a) (12) Filing 8 affidavit, per class 100.00 373 2.6 (a) (13) Filing 15 affidavit, per class 100.00 374 2.6 (a) (14) Filing combined sec. 8 and 15 affidavit, per class 200.00 375 2.6 (a) (15) Petition to the Commissioner 100.00 376 2.6 (a) (16) Petition for cancellation, per class 200.00 377 2.6 (a) (17) Notice of opposition, per class 200.00 378 2.6 (a) (18) Ex parte appeal, per class 200.00 379 2.6 (a) (19) Dividing an application, per new application (file wrapper) created 100.00 Trademark Service Fees 461 2.6 (b) (1) (i) Printed copy of each registered mark, regular service $ 3.00 462 2.6 (b) (1) (ii) Printed copy of each registered mark, overnight delivery to PTO box or overnight fax 6.00 463 2.6 (b) (1) (iii) Printed copy of each registered mark ordered via expedited local service 20.00 464 2.6 (b) (4) (i) Certified copy of registered mark with title and/or status, regular service 10.00 465 2.6 (b) (4) (ii) Certified copy of registered mark, with title and/or status, expedited local service 20.00 466 2.6 (b) (2) (i) Certified or uncertified copy of trademark application as filed, regular service 30.00 467 2.6 (b) (2) (ii) Certified or uncertified copy of trademark application as filed, expedited local service 30.00 468 2.6 (b) (3) Certified or uncertified copy of trademark related file wrapper and contents 50.00 469 2.6 (b) (5) Certified or uncertified copy of trademark document, unless otherwise provided 25.00 470 2.6 (b) (7b) For assignment records, abstracts of title and certification per registration 25.00 475 1.19 (g) Comparing and certifying copies, per document, per copy 25.00 480 2.6 (b) (9) Self-service copy charge per page 0.25 481 2.6 (b) (7) Recording trademark assignment, agreement or other paper, first mark per document 40.00 482 2.6 (b) (6) For second and subsequent marks in the same document 25.00 484 2.6 (b) (10) Labor charges for services, per hour or fraction thereof 30.00 485 2.6 (b) (11) Unspecified other services At cost 488 2.6 (b) (8) Each hour of X-SEARCH terminal session time 40.00 490 1.24 Trademark coupons 3.00

https://completemarkets.com/company/novatae/non-standard-worker-comp-for-property-management/
Property management operations present a broad range of workers' compensation challenges — multiple property types, varied employee duties, seasonal or transient staffing, and multi-jurisdiction exposures. Novatae Risk Group offers a specialized Non-Standard Workers Comp Insurance program tailored to property management risks that are difficult to place in the standard market. The program helps agents and brokers secure reliable coverage for higher-exposure or hard-to-place accounts. Backed by more than 30 years of experience and delivered in partnership with Empire Underwriters, Novatae's program provides flexible solutions to control costs, improve compliance, and simplify claims handling. It is designed to serve accounts exiting assigned-risk pools or state funds, non-renewed accounts, new ventures with operational need, and other non-standard placements where standard markets are unwilling or unable to offer terms. Ideal Accounts and Appetite Property management firms with difficult class codes and elevated experience mods (X-mods typically 1.30–3.00) Accounts leaving state funds, assigned-risk, or an insurer of last resort Non-renewed or canceled accounts with prior loss activity New ventures or startups with no prior coverage but valid payroll and operational plans Accounts with coverage lapses that can provide a loss affidavit and supporting documentation Example fits: you might have a client who manages multiple apartment communities with on-site maintenance and security staff and a recent claims history, or a property manager of retail centers that experienced prior coverage gaps and increasing payroll exposure. Coverage Highlights and Advantages Pay-As-You-Go workers' comp — no premium deposit required No premium audits, reducing administrative burden for clients and brokers Improved cash flow through flexible premium and payroll options Dedicated loss control and risk management support tailored to property operations Claims handled proactively with an emphasis on containment and fair outcomes HR support services including unemployment claims, garnishments, COBRA administration, and related services Full payroll services with tax remittance, 941s, W-2s, and payroll compliance support In-house check cutting and other payroll fulfillment options ASO (Administrative Services Only) and PEO (employee leasing) structures available where appropriate High-retention policy design — coverage remains active until canceled per policy terms Underwriting Notes and Minimum Premiums Required submission items: ACORD 130, applicable class supplemental form, three years of loss runs, a loss affidavit for lapsed or no-prior accounts, explanation for any claims over $20,000, and current experience mod sheets Minimum premiums vary by state and by risk class; underwriters will advise at review Only accounts that meet one or more eligibility criteria will be considered; this is not a market for accounts that have competitive standard-market offers Not suitable: low X-mods or accounts simply shopping for lower rates when standard coverage is available Territories and Availability The Non-Standard Workers Comp for Property Management program is available in most states, including AL, AK, AZ, AR, CA, CO, CT, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, DC, WV, and WI. Carrier access and specific appetite vary by state — carriers vary per state and placement is subject to local market availability. Why Work With Novatae Risk Group? Novatae Risk Group is a Managing General Underwriter and Excess & Surplus Lines broker focused on challenging workers' compensation placements. Our underwriters understand the operational nuances of property management and work with Empire Underwriters to provide non-standard solutions, streamlined underwriting, and a suite of value-added services that make placement and administration easier for you and your clients. Need a quote? Email [email protected] or call 800-758-8113 to speak with an underwriter today. Frequently Asked Questions What types of accounts are a good fit for this program?This program targets property management companies with difficult class codes, elevated experience mods, prior claims issues, or those exiting assigned-risk pools or state funds. Can I submit an account that has had a lapse in coverage?Yes. Accounts with a lapse can be considered if they meet underwriting criteria and include a completed loss affidavit plus supporting documentation. Is prior coverage required for eligibility?No. New ventures or accounts with no prior coverage may be eligible, particularly when they fall into tough classes or have multi-state exposures. Are premium audits required?No. One advantage of this program is the absence of premium audits, which reduces administrative work and helps clients manage cash flow. Which states is this program available in?The program is offered in most U.S. states (see Territories and Availability above). Market access and carrier appetite vary by state and by class. Need help placing an account? Connect with a market specialist.

https://completemarkets.com/Article/article-post/2458/E-O-Caveat-No-1-Never-Assume/
...st the insurer with a couple of affidavits from our agency about what we’d req...

https://completemarkets.com/Article/article-post/1575/TRADEMARKS-FOREVER-TRADEMARK-MAINTENANCE-PROGRAMS-AND-YOUR-BUSINESS/
...registrations, Section 8 and 15 Affidavits should be filed between the fifth a...

https://completemarkets.com/company/novatae/non-standard-workers-comp/
... of loss history, any necessary affidavits, and experience mod details. Which ...

https://completemarkets.com/Article/article-post/2093/DON%E2%80%99T-COUNT-ON-THE-SURPLUS-LINES-MARKET-TO-SOLVE-YOUR-PROBLEMS/
... You’ll need to complete affidavits to show that the standard market wo...

https://completemarkets.com/Article/article-post/2111/Do-You-Take-Uninsured-Motorist-Coverage-For-Granted/
Do You Take Uninsured Motorist Coverage For Granted?
If you answered 'Yes' to the above question, or 'I don't think so,' please read on. If you answered 'No,' congratulations! (I certainly hope you're being honest.) From 1986 to 1998, the No. 1 cause of E&O claims was failure to obtain the proper coverage. Auto claims account for one in every four E&O claims-and more than half of these deal with Uninsured/Underinsured Motorist (UM) coverage. What can go wrong with Uninsured Motorist coverage? Take a closer look: Is it standard operating procedure in your agency to offer clients UM coverage equal to the limits of Liability? The price differential is only an extra $50 to $75 per vehicle and is well worth it. Some states are now requiring that limits for Bodily Injury/Property Damage (BI/PD) and Uninsured Motorist be the same. If you feel that you don't have to offer higher UM limits because an Umbrella is in place that will drop down in the event of a claim, be careful. Personal and Commercial Umbrellas vary widely, so make sure that your company doesn't exclude UM on the policy. If an insured refuses the higher UM limits, many states and companies require that they complete a sign-off form. Even if prospects tell you verbally that they don't want the coverage, never sign the form on their behalf. You may want to check with the company to see if all Named Insureds should sign, or just the first Named Insured. Here's an example of an Uninsured Motorist claim that illustrates many of these points. The case involves allegations that an agent failed to advise a client properly of the availability of higher limits of UM coverage and that the agent failed to obtain a written waiver of UM benefits equal to Liability limits as required by the state's Financial Responsibility Act. An ambulance owned and operated by one of the agency's clients was struck head on by an uninsured vehicle that had crossed the centerline of the highway. A nurse and patient were killed, and the driver was seriously injured. The insured's Business Auto policy had Liability limits of $500,000 but UM limits of only $35,000. The nurse's estate sued the insurance agency, contending that the Uninsured/Underinsured coverage should have been $500,000 and that the agent was negligent in not providing it. Each policy year, the client had been advised that the limits for Uninsured/Underinsured Motorist coverage would be equal to that of Liability coverage unless he chose a lower option. His priorities were to maintain high Liability limits but to keep premium costs down. He reasoned that his employees were covered by Workers' Comp while operating the ambulance, so they wouldn't need the added protection of higher UM coverage. When renewal time came, the client selected the lesser UM coverage and executed the appropriate waivers as required by state law. The testimony of the client, together with an affidavit executed by the agent, persuaded the third-party plaintiff that the waiver was a 'knowing and intelligent waiver.' The agent was dismissed by way of an agreed order with minimal defense costs. In this case, good documentation was key to a good defense. Don't take Uninsured Motorist coverage for granted. Do the right thing: Provide your clients with the coverage they need and defend yourself against E&O claims. Your customers are looking to you for expert advice-don't disappoint them!

https://completemarkets.com/company/novatae/non-standard-worker-comp-for-heavy-construction/
Novatae Risk Group, in partnership with Empire Underwriters, offers a specialized Non-Standard Workers’ Compensation program tailored to heavy construction contractors. Designed to place difficult-to-insure risks outside the standard market—because of high experience mods, adverse loss history, or challenging class codes—this program pairs over 30 years of market experience with dedicated brokerage support to deliver practical, customizable coverage solutions for your clients. Ideal Accounts and Appetite Contractors operating heavy equipment or performing heavy construction with class codes showing manual rates typically from $8 to $50+. Accounts with experience mods (X-Mods) generally between 1.30 and 3.0. Prospects facing non-renewals, cancellations, or insurer declinations due to claims activity or class exposure. Insureds exiting state-assigned risk pools or other “insurer of last resort” programs. Accounts with lapsed coverage, limited prior coverage, or adverse loss experience. New ventures with no prior coverage that operate in tough classes or across multiple states. Complex submissions that the standard market cannot serve because of combined underwriting challenges. This program is not intended for accounts that have standard-market offers, low loss picks, or are simply rate-shopping. Coverage Highlights and Advantages Pay-As-You-Go non-standard workers’ compensation with no premium deposit required. No premium audits—simplifies administration and improves cash flow. Meaningful cash-flow advantages for insureds and reduced administrative burden for brokers. Comprehensive loss control and risk management services to help reduce frequency and severity. Fair, responsive claims handling backed by experienced adjusters. HR support services that include unemployment claims, wage garnishments, COBRA administration, and more. Full payroll services with tax compliance (941s, W-2s, etc.) and the option for clients to cut payroll checks in-house. Flexible servicing options: ASO (Administrative Services Only) or PEO/employee leasing where appropriate. High-retention product structure—coverage remains in force until canceled. Underwriting Requirements Completed ACORD 130 form. Supplemental application specific to the class of work. Three years of loss runs. Loss history affidavit for accounts with coverage lapses or no prior coverage. Detailed explanation for individual claims exceeding $20,000. Experience Mod worksheet (Experience Mod Sheet). Territories and Availability This program is available in most states, including AL, AK, AZ, AR, CA, CO, CT, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, DC, WV, and WI. Carrier availability, admitted vs. surplus lines placement, and specific terms may vary by state and submission. Why Work With Novatae Risk Group Novatae Risk Group, together with Empire Underwriters, combines deep expertise in high-risk and non-standard workers’ compensation with broad carrier access. As a managing general underwriter and excess & surplus lines broker, we can place business in admitted and E&S markets as appropriate and offer tailored solutions for accounts that standard markets decline. Our underwriting team works collaboratively with agents to evaluate complex loss histories, structure competitive terms, and expedite placement. Representative submission scenarios you might bring to this program: A regional heavy-equipment contractor with a 1.8 experience mod and multiple prior claims seeking continuous coverage after a state-assigned pool offer expires. A multi-state startup in heavy civil construction with no prior workers’ comp coverage but high manual rates and planned interstate projects. Need a Non-Standard Workers’ Comp quote for a heavy construction client? Send your submission to [email protected] or call 800-758-8113 to speak with an underwriter today. Frequently Asked Questions What types of accounts are a good fit for this program?This program is best for heavy construction contractors with elevated experience mods, prior significant losses, or those leaving state-assigned risk pools. New ventures in tough class codes or multi-state operations can also qualify under the right circumstances. Is prior coverage required to qualify?No. Prior coverage is not required. Accounts with no prior coverage may be eligible if they meet other underwriting criteria such as high-risk class codes, acceptable financials, and clear explanations for any gaps. What documentation is required for submission?Typical requirements include a completed ACORD 130, the supplemental application for the class, three years of loss runs, an Experience Mod Sheet, and explanations for claims over $20,000. Additional documentation may be requested for lapses or complex claims histories. Can this program be used for multi-state operations?Yes. Multi-state operations are eligible provided the locations fall within the program’s approved territories and meet state-specific underwriting guidelines. Interstate exposure is considered during evaluation. What makes this program different from standard market workers' comp?This program is built for risks the standard market often declines. It offers pay-as-you-go billing with no deposit, no premium audits, flexible ASO or PEO options, robust HR and payroll support, and targeted loss control services designed for heavy construction exposures. Need help placing an account? Connect with a market specialist.