General Council on Finance and Administration
Insurance Worksheet
Church name Prepared by
Date
PROPERTY COVERAGE
Current Insurer Name Renewal Date Insured Limits
Total Property Limits - Building and Contents
Co-insurance %
Does policy cover replacement costs?
Has a commercial replacement cost appraisal been
completed in the last 3 years?
Has the property limit increased annually via inflation
guard coverage?
Does the policy provide blanket property coverage?
LIABILITY COVERAGE
Current Insurer Name Renewal Date Per Occurrence Limit Aggregate Limit
Insured items:
Commercial General Liability
Pastoral Counseling Liability
Sexual Misconduct Liability
Hired & Non-Owned Auto Liability
Hired & Non-Owned Auto - Physical Damage
Employee Benefits Liability
Medical Payments
Crime/Employee Dishonesty Coverage
Current Insurer Name Renewal Date Per Occurrence Limit Aggregate Limit
Crime/Employee Dishonesty Coverage
Director & Officer's/Employment Practices
Liability Coverage
Current Insurer Name Renewal Date
Per Claim Limit
Director's & Officer's Liability
Employment Practices Liability
Umbrella Coverage
Current Insurer Name Renewal Date Per Occurrence Limit Aggregate Limit
Workers' Compensation Coverage
Current Insurer Name Renewal Date Per Occurrence Limit Aggregate Limit
Bodily Injury by Accident - Each Accident
Bodily Injury by Disease - Policy Limit
Bodily Injury by Disease - Each Employee
Commercial Auto Coverage
Current Insurer Name Renewal Date Auto Liability Limit Column1
