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For Instructions: CLICK HERE!
Distributor Proposal On-line Request Form: CLICK HERE!
No printing or faxing, just complete the form and click SUBMIT INFORMATION!
Distributor Proposal Print & Fax Request Form: CLICK HERE!
Complete the form on your screen, then print and FAX it to us.
Our FAX number is 1-866-668-4746.
PLEASE NOTE: When completing the the Print & Fax Distributor Proposal Request PDF form,
please be sure that you have the LATEST Adobe Reader version downloadable below.
Any Adobe Reader version prior to Version 6 doesn't work correctly for this form. Please update before completion.
Program Details: CLICK HERE!

NOTE: In order to download the forms above, you need the Adobe Reader plug-in. It is FREE and downloadable at THIS ADDRESS - PLEASE CLICK to get it. |
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Property:
Inventory $10,000 Minimum Coverage on your goods anywhere they are
Computer Included Coverage on your portable computer anywhere
General Liability: $1,000,000 Coverage for Business General Liability Claims Business Auto:
Liability $1,000,000 Coverage for liability to others (Auto)
Underinsured Motorist $1,000,000 Coverage to protect you from uninsured Drivers
Medical Payments $5,000 Coverage to reimburse you for accidents in auto Comprehensive $250 Deductible Coverage to pay for your auto/trailer damage Collision $500 Deductible Coverage to pay for your wrecked auto/trailer Payment options:
- Coverage can be bound by agent after approval from St Paul Travelers without immediate payment
- When policy is issued St Paul Travelers will send bill with convenient installment options to client.
Other Benefits:
- Multiple additional insured’s can be added as needed: i.e. McKee Foods or other suppliers.
- Immediate electronic confirmation of coverage sent to McKee Foods and we order Certificate of Insurance from St Paul Travelers to be sent to McKee Foods in 24 hours of binding coverage.
- Additional Certificates can be issued by phone or electronic request to St Paul Travelers Service Center at no charge
- All changes, billing questions, requests for certificates, additions, deletions are handled by St Paul Traveler Service Center
- All Claims are handled 24/7 by St Paul Travelers Claims Center
Policy contains many more built-in features to protect client: Loss of Income, Fire Department Service Charges, Valuable papers, etc.
Other Coverage’s Available on request from First Volunteer Insurance Agency, Inc:
- Life Insurance
- Health Insurance
- Disability Insurance
- Umbrella Liability Insurance
- IRA/Keogh Retirement Savings Plans
Distributor Proposal Request Form: CLICK HERE!
****These coverage descriptions are simplifications
and your policy should be consulted for exact explanation**** |