Fidelity Insurance

Proposal Form - Addendum

When engaging employees does the proposed Insured always use a process to obtain references from former employers?	No ☐	Yes ☐
Are employees who are responsible for financial and accounting functions and computer programming operations required to take two weeks uninterrupted leave each year?	No ☐	Yes ☐
Are duties segregated so that no one person can issue and draw cheques, withdraw funds or transfer funds in excess of $1,000 in value without approval by another person?	No ☐	Yes ☐
Are bank accounts independently reconciled on a monthly basis by persons not authorised to deposit or withdraw funds from the accounts?	No ☐	Yes ☐
Are new clients or supplier bank account information (including name, address and account number) verified prior to initiating any financial transaction with such client or supplier?	No ☐	Yes ☐
Are call back procedures in place with clients or suppliers to authenticate any fund transfer instructions greater than $20,000 prior to transfer?	No ☐	Yes ☐
On receipt of any email request to change clients or suppliers bank account details (including account number, email address, contact information, bank routing number) are direct call back procedures in place (i.e. other than responding via email) to the contact phone number in place prior to receipt of the change request?	No ☐	Yes ☐

If no to any questions above, please provide full details in the space below.