H.L. Staebler Company Limited
The Best Insurance Is An Insurance Broker
 
QUOTE REQUESTS  
The UPS Store Commercial Insurance Program
Current Insurance      
Insurance Company: Renewal Date:
Existing Premium: Policy Number:
       
Location Details      
Company Name: Store Number:
Address:  
City:    
Postal Code:    
Year Built: Area (sq ft):
Construction:
Non-Standard Fire Resistive     Non-Combustible
Masonry     Frame/Brick Veneer
Building Updates: (if known, indicate year of most recent update)
 
Roof: Heating:
Electrical: Plumbing:
 
Protection:
Fire Halls & Hyrdrants Semi-Protected (Fire Halls)
Unprotected     Sprinkler System
Fire Alarm:
Monitored Monitoring Company:
Local Alarm      
Burglary Alarm:
Monitored Monitoring Company:
Local Alarm      
Store Operations      
Annual Sales: Annual Payroll:
Value of Contents: Full Time Staff:
Replacement Value
of Contents: 		Part Time Staff:
Value of each laptop:
Copier in mailbox area: Yes
   
Claims Experience  
Briefly describe any claims you have had:
Date: Amount Paid:
   
   


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