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Apartment Building Owners Insurance Quote
	First & Last Name:
	Location Street Address:
	City, State & Zip:
	E-Mail Address:
Telephone:		Fax:
	Business Name:
Insurance Company Name:
	Policy Exp. Date:
Any Claims in Last 3 years? (if Yes, please describe)
Do you carry work comp for your managers?
	Year Property Built:
Any Updates to Property? (if Yes, please describe)
Complete Lender Info. ie Escrow Info if new purchase
	Apartment Information
Apartment Units:		How many Stories?:
# of buildings:		Flood Insurance?
Any Pools?		Construction Type:
Total Sq. Ft. of building (s):
Earthquake Insurance?
(if Yes, what type of parking?)
Please give any additional information that might be helpful in providing you an accurate apartment owners insurance quote:

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Dimond Bros. Insurance Agency, Inc
111 Sheriff St., P.O. Box 1090
Paris, Illinois 61944
Tel: 217-465-5041
Fax: 217-463-3809
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