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Manufacturers Survey – Hutch

Manufacturers Survey – Hutch

Business

Contact name:
Address:
Other location(s):
MM slash DD slash YYYY

Underwriting

Property

Physical address:
List other tenants:

Premises Exposures

General Liability Limit

General Information

Manufacturing or completed operations:
(check all that apply)
High-hazard product attributes:
(check all that apply)
(cranes, forklifts, automated rack storage, etc.)

Workers’ Compensation

MM slash DD slash YYYY
List
Class code #:
Payroll =
 
(check all that apply)

Autos

If no, consider adding the corporate officers named coverage endorsement.
List
Year
Make
Model
VIN
 

Company

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