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Get the insurance your main street organization needs.
Please complete the form to your best ability. Fields marked with an * are required.
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Step 1 of 7
If there is existing insurance, please attach copies of Declaration Pages from each of your policies. Declarations Pages are the first few pages of the policy that indicate who, where and what is insured, and how much coverage is present.If there is existing insurance, please attach copies of Declaration Pages from each of your policies. Declarations Pages are the first few pages of the policy that indicate who, where and what is insured, and how much coverage is present.
If building is over 30 years old, provides updates for each:
Total Number of Employees
Estimated Annual Payroll for Employees
Owners/ Officers are included/excluded from workers comp benefits.
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