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Accord 140

Accord 140 Property section Application

Submission Date

Proposed Effective Date

Business Name

Contact Name

Contact Type

Street Address

City, State, ZIP code

Email Address

Phone

Premises information

Subject of insurance

Amount

Subject of insurance

Amount

Construction type

Distance to hydrant

Distance to fire station

Fire District

How many stories is the building?

Year built

Total area

Type of Building improvementsWiringRoofingPlumbingHeating

Year of wiring

Year of roofing

Year of Plumbing

Year of Heating

Roof Construction Type

Disclaimer

Universal Marketing and Management insurance platform does not sell insurance or give insurance advise. Agents and brokers work independently and use our platform only as a tool to process and manage applications and policies for their clients

U.M.M insurance platform does not receive commissions or write policies and are not responsible for errors made by individual Agents or Brokers.

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951 228 2254

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