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First & Last Name:
Location Street Address:
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Insurance Company Name:
Policy Exp. Date:
Any Claims in Last 3 years?
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Do you carry work comp for your managers?
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Property Information
Address (if different):
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Any Updates to Property?
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Complete Lender Info.
ie Escrow Info if new purchase
Building Information
Units:
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# of buildings:
Flood Insurance?
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Electrical Type:
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Total Sq. Ft. of building (s):
Earthquake Insurance?
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Building Value:
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PO Box R, 119 Center Street Kimberly, Idaho 83341 |
Phone: 208-423-5588
| Fax: 208-423-5601 |
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