Transcription of O S P R EY
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O S P R EY
OSPREYUNDERWRITERSTMOSPREY UNDERWRITERS INC. | 777 WEST PUTNAM AVENUE, GREENWICH, CT 06830 Church/ religious Organizations supplemental Application APPLICANT'S NAME DBA (if applicable)Mailing Address City State ZipEmail of Primary Contact Phone NumberAudit Contact Name (if different from above) Phone NumberFirst Year in Business Annual Sales/RevenueNumber of EmployeesLOCATION INFORMATIONBldg # Location AddressCity/State/ZipPCBuilding UseBuilding sqr ftYear BuiltType of RoofYear Roof UpdatedContents LimitBuilding LimitInclude Equipment Breakdown Coverage?Has Electric box been updated to circuit breakers? Plumbing been Maintained, Updated, or Replaced? Heating system been Maintained, Updated, or Replaced?
Curc/Religious Organiations Supplemental Application APPLICANT'S NAME DBA (if applicable) ... Curc/Religious Organiations Supplemental Application 2 - 3 Does the applicant own or operate any other businesses? ... Has the organization or any of its past or present directors, officers, trustees, committee members, ...
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