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Quote Information Sheet


Business Insurance for California Only

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Current Liability Carrier
Current Premium
Next Renewal Date
Description of Operations
Limit of Liability Requested
Annual Gross Receipts
Number of Employees
Annual Employee Payroll
Claims/Losses in Last 3 Yrs
DBA
Years of Experience
Do you own your property
If so, when was it purchased
Year the building was built
Square footage of the building
Contents Limit Requested
Deductible Requested
Building Limit
Building Construction
Email:
Name:
Address:
City:
County:
State:
Zip:
Phone:
Fax:
How did you find our website
Any Further Questions:

If any questions please contact our office at

mail@hanninsurance.com
Or call (760) 365-9744.

IMMEDIATE RESPONSES ON ALL QUOTES.
Disclaimer: All quotes are subject to change. Quotes are based on the information
you provide. Please be as accurate as possible so we can be as accurate as we can.



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