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INDICATION APPLICATION

 Please be advised that our indications will be subject to but not limited to the following conditions:
 No Losses during the prior three years.
 Risk must meet Sigma's guidelines.
 Indications are not reserved until a complete submission is accepted by your underwriter. 

* indicates required fields 
  *Business Name and Zip code:
  *County:
  Building Limit:
  Contents Limit:
  Business Income Limit:
  *ConstuctionType:
  *Protection Class:
  *Sprinklered:  No
 Yes
  *Business Class:
  *Year constructed:
  *Roof Age (Shingle roofs if 15 or less years old):
  *Distance ( No Barrier Islands):
  Do any of the following Apply?:  Tile roof
 Metal roof
 Impact glass/Hurricane shutters
 Central Station Alarm
 Hip-Roof
  *Wind Deductible needed:
  *Target premium needed including all fee's & taxes:
  *Are you contracted with Sigma?:
  *Your Contact #:
  *Email Adress:

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Sigma Underwriting ManagersSM. All rights reserved. Certain coverages may not be available in all states. Coverage will be written on a non-admitted basis only through licensed surplus lines brokers, The description here is a summary only, it does not include all terms, conditions and exclusions of the policies and coverages described.  PRIVACY STATEMENT
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