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Secure Commercial Renewal Review

Operations

Have you had any address or location changes?YesNo
Have there been any changes in ownership?YesNo
Do you project any changes in payroll for the next policy term?YesNo
Do you project any changes in revenue for the policy term?YesNo
Have there been any changes in your operations, or do you foresee any for the next policy term?YesNo

Property

Have you purchased or sold any business property or equipment, or do you intend to for the next policy term?YesNo
Have you made any building additions or improvements to your facility, or do you have any planned for the next policy term?YesNo
Have you added or upgraded any safety/security devices?YesNo

Auto

Have you purchased or sold any business/commercial vehicles during the current policy term?YesNo
Have there been any changes to your listed drivers during the current policy term?YesNo

Miscellaneous Information

Would you like to schedule to a meeting to do a complete risk management review?YesNo
Would you recommend the American Tri-Star Insurance Services Inc. Team to your professional colleagues, friends, and family?YesNo
How satisfied are you with the service your are receiving from the American Tri-Star Insurance Services Inc.?Completely SatisfiedSatisfiedNeutralDissatisfiedCompletely Dissatisfied

Website Disclaimer - Review Carefully:

This information is not an offer to sell insurance. Insurance coverage cannot be bound or changed via submission of this online form/application, e-mail, voice mail or facsimile. No binder, insurance policy, change, addition, and/or deletion to insurance coverage goes into effect unless and until confirmed directly with a licensed agent. Note any proposal of insurance we may present to you will be based upon the values developed and exposures to loss disclosed to us on this online form/application and/or in communications with us. All coverages are subject to the terms, conditions and exclusions of the actual policy issued. Not all policies or coverages are available in every state. You also agree to release us from any liability if this information is accidentally viewed by unauthorized persons. We will only use this information for insurance quoting purposes and not distribute to other parties.