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Started:
04/02/2015
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Connie Miller CISR If at any time you need assistance please contact Connie Miller CISR at or conniem@jsausa.com
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Artisan Quote

Got Equipment? Does your applicant have equipment they need insured? Miscellaneous tools and Rented/Leased coverage available!

Click here to start an online contractors equipment quote!

Applicant Information
Applicant Name:
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Agency Information
Agent Name:
Note: This is the name of the agent requesting the quote, NOT the agency name.
Agency Name:
Agency Phone:  -  - 
Agency Fax (optional):  -  - 

Underwriting Questions
How many losses has the applicant had within the last 3 years?
Does applicant perform any roofing work of any kind?  Yes
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