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	Please check the coverages for which you are interested in receiving a quote:
	Personal Insurance	Commercial Insurance
	Auto 98 & 99 Excellent Driver Credits	Business Owners Policy     – retailers, wholesalers, offices, services
	New Home under construction	Dry Cleaners Program
	Standard Homeowners	Garage/Repair Shop/Auto Body Program
	Prestige Plus (Dwelling Value over $500,000)	Medical Malpractice Liability Program
	Coastal Home Policy (subject to underwriting)	Health Care Institutional Program
	Jewelry/Fine Arts/Antiques	Financial Institution Program
	Umbrella Liability	Boat Dealers & Marina Program
	Condo-Owner	Habitational – Condos, Apartment Buildings
	Tenant’s/Renter’s	Commercial Office/Retail-Wholesale/R&D Condo’s
	Mobile Home	Contractor’s Program/Artisan Contractors BOP
	Marine, Boat, or Yacht - or Click Here   Please complete the PDF application and   fax or email to the address on bottom of the form.	“GC” General Contractors
		“Wet Marine”     – Charter Boats, Ocean Marine, International transportation
		Inland Marine Transportation     – Warehouse, Contractor’s Equipment
		Builder’s Risk - new and rehab construction
		Workers Compensation
		Professional Liability
		Misc. Errors & Omissions Liability
		Directors & Officers Liability
		Employment Practices Liability
		Bonds – Surety, Contract, Fidelity, ERISA
		Crime, Fiduciary Liability
		Commercial Umbrella Liability
		Specialty Liability Policies     – (Claims Made) through approved Surplus Lines Carriers
	Accident   Life   Health   Disability   Long-Term Care   Group   Individual   Employer-Sponsored (Payroll-Deduction) Groups for Auto/Home

	In order to produce a quote for your insurance needs, we'll need to gather additional information from you that is specific to the coverages you are interested in. How would you prefer we contact you?
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