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603-433-5600 207-358-7408 978-225-7933

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603-433-5600 207-358-7408 978-225-7933

Business Owners Quote

Business Owners Quote

Name Of Business*
Address*
Street AddressCityStateZIP Code
Business Phone*
Fax Number*
Email Address*
Location Address
Street AddressCityStateZIP Code
type same if same as above
FEIN
Age of building/Year Built*
Building Construction Type*
Number of Stories*
Other Occupancies*
Square feet you occupy(sq.ft)*
Business Owner Name*
FirstLast
Nature Of Business
Number Of Owners
Number Of Employees
Gross Annual Profit
Annual Employee Payroll
Subcontractors Used?
Annual Cost of Subcontractors
Prior Insurer
Years Insured

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242 State Street
Portsmouth, NH 03801
603-433-5600
1-888-KANEINS

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150 Lafayette Road, Suite 14
Rye, NH 03870
603-379-8600

6 City Center, Suite 307
Portland, ME 04101
207-358-7408

29 Water Street, Suite 214A
Newburyport, MA 01950
978-225-7933

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