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Request a complimentary, no-obligation Premium Estimate
For more information, or to request a free, no obligation Premium Estimate, please complete and submit the following form:
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First Name:
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Last Name:
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E-mail Address:
Address 1:
Address 2:
City:
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State/Province:
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Phone:
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Fax:
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Staff Size:
Principals, Officers and Directors:
Architects, Engineers, Surveyors, Site Representatives, Landscape Architects, Draftsmen and other Technical Personnel:
Clerical and Accounting Employees:
Total Staff:
0
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Total Gross Billings (less direct reimbursables):
Projected fiscal year $
Most recently completed fiscal year $
Previous completed fiscal year $
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Discipline:
Please indicate the percentage of gross billable dollars by discipline for the last fiscal year (total must equal 100%):
Have you had an claims (paid or unpaid) in the last five years.
Yes
No
If yes, what was the total amount paid (defense and indemnity)?
Additional Information:
Please provide any additional comments or information in the box below.
A&E Advantage
159 E. County Line Road
Hatboro, PA 19040
Call Toll Free:
1-877-266-4929
Fax 1-866-937-3348