2016 ACEC New York Business Affiliate Survey In order to coordinate our services and provide greater benefits to our members, ACEC New York is asking all member firms to help us identify firms and companies with which they do business. Please complete this brief survey with the requested information. Your help is greatly appreciated. Question Title * 1. Please provide the name of the company your firm uses for the following services (if applicable): Health insurance carrier Health insurance broker General business insurance PLI insurance (if different from business insurance) PLI broker (if different from business insurance) 401K Lobbyist/public affairs (Albany) Lobbyist/public affairs (NYC) Question Title * 2. Please select all that apply: Our firm/company leases vehicles. Our firm/company reimburses employees for using their own vehicles. Our firm/company has a corporate rental policy for staff traveling more than 100 miles. Question Title * 3. Please provide the following information. Firm Name Contact Name Email Address Phone Number Done