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Tel: 740-965-4472
Fax: 740-965-4776
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Commercial Building Property Insurance Quote

First & Last Name:  
Location Street Address:  
City, State & Zip:  
E-Mail Address:  
Telephone:  
Fax:  
Business Name:  
Insurance Company Name:  
Policy Exp. Date:  
Any Claims in Last 3 years?  
(if Yes, please describe)
Do you carry work comp for your managers?  

Property Information

Address (if different):  
Year Built:  
Protection Devices:  
Any Updates to Property?  
(if Yes, please describe)
Complete Lender Info.  
ie Escrow Info if new purchase

Building Information

Units:  
How many Stories?:
# of buildings:  
Flood Insurance?  
Electrical Type:  
Construction Type:  
Total Sq. Ft. of building (s):  
Earthquake Insurance?  
Building Value:  
Contents Value:  

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Payne & Brown
35 S. Columbus St.
Sunbury, Ohio 43074
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Phone: 740-965-4472
Fax: 740-965-4776
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