Carter & Company - Insurance Managers

Carter & Copany, LLP -- Insurance Managers

Carter & Company - Insurance Managers
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Commercial Insurance Quote

Control Of Well Insurance

For the fastest and most accurate control of well insurance quote, please provide as much information possible in the form below. This information will be kept confidential and will be used for quote purposes ONLY!

If not in Texas, please click here to view a list of states in which we currently have non-resident licenses.
If your state is not listed then we would not currently have a market for you.

General Information
First Name:
Last Name:
Business Name:
Address:
City:   State:   Zip Code:
Phone Number:   Fax Number:
E-Mail Address:
*Fed. Tax I.D. # or *Social Security #:
*Required by insurance company in order to quote.
Additional Insured:
Address:
City:   State:   Zip Code:
Years In Business:   Term of Coverage:
Interest Insured(If not 100%):
Type of Drilling Contractor(s): IADC     OTHER:
Name(s) of Drilling Contractor(s) Used:
Has Drilling Contractor Had Any Control of Well Losses?: Yes   No
Have You Had Similiar Coverage Canceled or Not Renewed: Yes   No
Have You Had A Claim Under A Similiar Policy?: Yes   No
Present Carrier: (If Any):
Control of Well Limit of Liability: $
Deductible: $
Care, Custody and Control Limit ofLiability: $
Deductible (Includes Redrilling Expense): $
Other Coverages Desired As Indicated: 1. Seepage & Pollution
2. Clean-Up & Containment
3. Make Well Safe
4. Underground Blowout
5. Evacuation Expense
6. Unlimited Redrill
7. Deliberate Well Firing
8. Removal of Wreck/Debris
9. Contigent Rig Coverage (Sound Well Site & Corrosion)
10. Include Coverage For Work-Over Wells (Show Factors)
11. Include Coverage For Producing Wells (Show Factors)
12. Include Turnkey (Credit) Endorsement
13. Unintentional Error, Delay or Omission In Well Reporting

Estimated Drilling Program
(Next 12 Months) Indicate Horizontal with "H"
Depth   Area I   # of Wells   Area IIa   # of Wells   Area IIb   # of Wells
 0-5,000' 
5,001'-7,500'
7,501'-10,000'
10,001'-17,500'
17,501' and Over
What County(ies) Will You Be Drilling In Next?:
What is A.F.E. For Next Well?:
What Is Dry Hole Cost For Next Well?:
If Horizontal, What Method Of Drilling Will You Use?: Balanced   Under Balanced   Producing While Drilling
Advise Of Any High - Pressure or Sour Gas Wells That Might Be Expected In Area To Be Drilled:
Type Well: In Field   Offset   Wildcat
Mud Weight:
Target Zone:
Field Name:

Producing Wells
If Coverage Is Desired, Please Fill Out Attached Schedule
Area I Includes:
Alabama, Alaska, Arizona, Colorado, Florida, Louisiana, Mississippi, Montana, New Mexico and Texas Railroad Commission Districs 5 through 10 (North Texas).

Area IIa:
All other land areas worldwide other than Area I (South Texas), areas north of the Arctic Circle and south of the Antarctic Circle and Alaska.

Area IIb:
Inland waters of U.S., Canada, Lake Maracaibo and territorial waters of the United States of America adjacent to the Continent of NOrth America of water depths less than 10 fee but excluding north of the Arctic Circle and south of the Antarctic Circle and Alaska. Area III includes inland waters of U.S., Canada, Lake Maracaibo and territorial waters of the United States of America adjacent to the Continent of North America of water depths greater than 10 feet.

Producing And / Or Shut-In Wells
If coverage is desired for Producing and/or Shut-In Wells, please complete the following schedule
Producing Wells
Name County State TX RRC District Area I
Footage
Area II
Footage
Area III
Footage
Shut-In Wells
Name County State TX RRC District Area I
Footage
Area II
Footage
Area III
Footage

Please click on the "Submit Quote" button to send your quote request.
One of our representatives will respond to your submission as soon as possible.

   

 

Important Note: This web site provides only a simplified description of coverages and is not a statement of contract. Coverage may not apply in all states. For complete details of coverages, conditions, limits and losses not covered, be sure to read the policy, including all endorsements, or prospectus, if applicable. Coverage CANNOT be bound, amended, or altered by leaving a message on, or relying upon, information in this Website or through E-MAIL.
         Carter & Company - Insurance Managers
522 E. Crockett, Luling, Texas 78648    Address:
522 E. Crockett
Luling, TX 78648
(Across from Post Office)
Carter & Company - Insurance Managers
P.O. Drawer 672, Luling, Texas 78648-0672    Mailing Address:
P.O. Drawer 672
Luling, Texas 78648-0672
Carter & Company - Insurance Managers
Phone: (830)875-3164 - Toll Free: (800)967-0972 - Fax: (830)875-9362    Phone:
Toll Free:
Fax:
   (830)875-3164
(800)967-0972
(830)875-9362
Carter & Company - Insurance Managers
Hours: Monday - Friday -- 7:30 am - 5:00 pm    Office Hours:
Monday thru Friday
7:30 a.m. - 5:00 p.m.
 
Carter & Company - Insurance Managers
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Carter & Company - Insurance Managers
Carter & Company - Insurance Managers