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Name
E-mail
Address
City
Province
Postal code
Phone Number

Age of building
Construction of building
Is the building sprinklered? Yes No
Neighborhood descriptor
Burglary protection
Is there a hydrant within 500 ft. (150 m.)? Yes No
Is there a fire hall within 3 miles (5 kms)? Yes No
Does the applicant install a service pay products? Yes No
What type of business?
Have there been any insurance claims in the
last 3 years?
What are the annual receipts?
What is the annual payroll?

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