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Worker's Compensation Insurance

Business Address

Street Address Address Line 2 City State ZIP Code

FEIN #

Number of Years in Business

Type of Work Performed

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Annual Employee Payroll

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Annual Subcontracting Costs

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Percentage (%) of Residential Work

Percentage (%) of Commercial Work

Percentage (%) of New Construction

Percentage (%) of Remodels/Renovations/Service Work

Percentage (%) of Interior Work

Percentage (%) of Exterior Work

Auto Insurance

Full Address

Street Address Address Line 2 City State ZIP Code

Driver(s) Details:

Driver's Name:

Date of Birth:

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Auto Details:

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Note:

For Car Usage, please select Commute, Business, or Pleasure.

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Homeowners Insurance

Full Address

Street Address Address Line 2 City State ZIP Code

Occupancy

Construction type

Frame

Manufactured

Year built:

Square Footage:

Number of Stories:

Foundation type:

Exterior siding material:

Flooring material:

Roof Type:

Roof age (in years):

Attached garage/carport?

Yes

Size of Attached Garage/Carport:

Heat source(s):

Miles to nearest fire station:

Feet From Hydrant:

Acreage:

Business on premises?

Yes

Animals on the premises?

Yes

Animals Details:

Animal Number

Animal Type / Breed

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Does the property have a pool?

Yes

Does the property have a trampoline?

Yes

Detached Structures:

Type

Size (in square footage)

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Customer Reviews

Helpful and personalized service.

Rachelle B

Very Professional staff

David P

Helpful when needed..

Shirley D

Great customer service. Had one claim with my truck and the whole process went...

steve r

Excellent customer service.

E R

Always excellent!

Denis K

I wish there were a 10 star option! Top notch family style customer service. I...

Ryan R Say

Great job Frazier Insurance- fast, knowledgeable and informative. Insurance is...

Anthony C

This is some of California's darkest times to be a home owner. Everything is...

Yulia Z

I want to recommend Mr. Frazier and his team for anyone looking for home...

MAW C

Category: Auto

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Worker's Compensation Insurance

Auto Insurance

Homeowners Insurance

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Customer Reviews

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