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Equine Commercial General Liability
Same Day Quote & Issue |
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Call
Toll Free 1-800-874-9191
Fax
480-452-0593
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For no-obligation
equine liability quote, please complete
the following form
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| Insured Name |
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| Address
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| Address 2 |
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| City |
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| State |
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| Zip |
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| Entity Type |
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| Years Experience |
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| Contact Name |
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| E-mail |
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Business Phone |
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(Area + Number) |
| Fax |
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(Area + Number) |
| Cell phone |
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(Area + Number) |
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| Desired
Policy Effective Date? |
| Start |
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Liability Limit |
Per Occurrence |
| Number
of full time employees |
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| Number
of part time employees |
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Annual Payroll |
$
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Estimated Gross Annual Revenue |
$
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Website (If Any) HTTP:// |
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Underwriting Questions - Do not
duplicate horses or receipts in answers |
| Owned
personal pleasure horses |
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| Owned
breeding horses |
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| Owned
race horses |
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| Do you
sell horses ? If YES, annual number |
Number
of horses sold annually |
| Do you
board horses ? - If Yes average number |
Non-Owned
Horses Boarded |
| Do you
train horses ? - If Yes average number |
Non-Owned
Horses in Training |
| Do you
offer Riding Instruction ? |
If YES provide breakdown
below |
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$
Riding Instruction on School Horses |
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$
Riding Instruction on
Student's own horse |
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$
Therapeutic Riding Instruction on
School Horses |
| Maximum
# School Horses used at one time |
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| Do you
offer produce Horse Clinics ? |
If YES, Annual
number of clinic days |
| Do you
offer produce Horse Shows ? |
If YES, Annual
number of show days |
| Do you
sells tack or clothing ? |
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| Additional Insureds added to policy ? |
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| Do
Independent Trainers carry insurance ? |
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| Care,
Custody & Control - Choose Limit |
Limit
option is Per Head / Per Accident |
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| Any
losses in past 3 years? |
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How did you hear about us? |
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Comments or Special
Instructions |
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| AFIG
Producer - Please enter Name & Number |
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Insurance Definitions |