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Insurance Company Name:
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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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Protection Devices:
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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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Payne & Brown
35 S. Columbus St.
Sunbury, Ohio 43074
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Phone: 740-965-4472
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