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(615) 220-9890
HOME
ABOUT
CLIENT SERVICES
REQUEST A QUOTE
RESOURCES
CONTACT
Business Quote
Step 1 of 7 - Applicant
14%
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*
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Middle
Last
Date of Birth
MM
DD
YYYY
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*
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*
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*
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*
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*
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*
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*
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*
How Many Locations?
*
Please give a detailed description of your business and clientele
*
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% Occupied
Sprinklers
Yes
No
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Number of Basements
Square Footage
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No
Building Value
Contents
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Please describe updates to property if over 20 years old.
Annual Gross Sales: (Before Taxes)
Annualized Payroll
Cost of any Subcontracted Work
Limits Requested
$300,000
$500,000
$1,000,000
$2,000,000
Describe any claims you've had in the past 5 years
Comments/Additional Information
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E-Mail: service@barrettagency.org
Office Hours: Monday - Friday, 8 a.m.- 5 p.m.
Telephone: (615) 220-9890
Fax: (615) 220-9838