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What is your
company's name? |
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What is your company's
address (physical location) |
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City
State |
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What is your email address? |
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What is your current annual
premium? (if covered now) |
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What limit of
liability coverage do you want? |
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When would you
like your policy to take effect? |
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What
is your business entity (legal entity status)? |
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How
many years has your company been in business? |
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With what industry are you
associated? |
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If a General Contractor,
indicate area of specialty |
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How
many employees does your company have? |
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Estimate
your company's gross annual revenue |
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What
is your company's estimated annual payroll? |
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Is
your current GL policy "claims
made" or "occurrence"? |
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Describe
in detail exactly what your company does. The more
specific you can be the better. Also, please list any
additional requirements you may have (e.g. additional
insured you may need added to the policy) |
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Please
enter your name or the person we should contact. |
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Please
enter your phone number. |
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Turner
& Hamrick, LLC P.O. Box 985
Troy, AL 36081
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440
U.S. Hwy 231 Troy, Alabama 36081
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Phone:
(334) 566-7665 Fax: (334) 566-7215
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bodily
injury that results in actual physical damage or loss