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ABOUT YOUR TRAILER, CAMPER, OR FIFTH WHEEL |
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Length:
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| Make: |
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| Model: |
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| VIN: |
(optional, but preffered) |
| Value: |
$ |
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| Type: |
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| Lienholder: |
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Permanently Attached Equipment: |
$ (From $1,000 to $99,000) |
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Liability Requested: |
(bodily injury + uninsured motorist) |
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Deductibles: |
(Choose Your Options Below) |
| Collision: |
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| Comprehensive: |
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| General Liability
Insurance: |
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Do you currently have
commercial auto insurance (if
yes, with what carrier)?
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Do you have any other information
about your business , or comments that you would like to
share? Please place special requests here, such as extra coverage
for special items. |
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Most insurance companies use information from you
and other sources, such as your driving, claims, CLUE report and credit histories, to
calculate an accurate price for your insurance. We will take the information
that you provide here and use it to obtain a quote. New or updated information
may be used to calculate your renewal premium. Its Privacy Policy explains
how each company discloses and protects your personal information and how
you may access and correct it. We can provide a copy at your request. Credit
rating is not used in California.
NO COVERAGE IS BOUND,
OFFERED, ISSUED THROUGH THIS ELECTRONIC COMMUNICATION, ALL POLICIES MUST BE
UNDERWRITTEN AND APPROVED BY THE CARRIER. DO NOT CANCEL YOUR CURRENT
INSURANCE.
Copyright 2011 Stratum
Insurance Agency, LLC
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