(218) 828-1310
Baxter, MN
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Number of years in business
Number of Years in this profession
Annual Gross Sales (or projected if new in business)
Number of full-time employees
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Brief description of your business & clientele
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Cost of any subcontracted work
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Current Coverages
Bond
Commercial Auto
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Business Information
# of Full-Time Employees
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How long in Business? (yrs)
How many locations?
Please give a brief description of your business and clientele
Property/Premises Information
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Year Built
% Occupied
Sprinklers
Yes
No
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Sq. Footage
Burglar Alarm
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No
Building Value
Contents
Other Property (specify)
Insurance Information
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Annual Gross Sales: (before taxes)
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Annualized Payroll
Cost of any Subcontracted Work
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$300,000
$500,000
$1,000,000
$2,000,000
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