Copyright © 2003 Aruffo-Rim Agency. All rights reserved.
Revised: July 06, 2005
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| Located
in brush hazard?: |
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| Equipped
with smoke alarms?: |
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| Equipped
with deadbolts?: |
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| Equipped
with auto fire sprinklers?: |
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| Equipped
with a theft alarm?: |
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| Equipped
with a fire alarm?: |
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| Located
in gated community?: |
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| Distance
to a fire station: |
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| Distance
to fire hydrant: |
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| Type
of residence?: |
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| Current
policy expires in: |
|
| Any
claims in the past 5 years?: |
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| Liability
Coverage: |
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| Medical
Payments: |
|
| Deductible: |
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