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Personal Information
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Best Time To Call
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Number of operators
Name, d.o.b., ss# and drivers license for each operator
Number of violations in the last five years
Current auto liability limits (most policies required 250/500 minimum uderlying liablity)
Current property liability limts (most policies required 300,000 minimum underlying liability)
Additional exposures (list all that apply and the number of them)
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Number of misc. vehicles
Number of motorcycles
Number of additional residences
Number of owned watercraft
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Number of rental property's
Any vacant land
Excess Liability Limit