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994 Willett Ave, Riverside, RI 02915

977 Dexter St, Central Falls, RI 02863 401-475-4122

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401-433-4100

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What insurance do you currently have with us?

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Business Insurance

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Your Home(s)

Please think back over the last year when answering these questions.

Have you remodeled or made any major updates to an existing home(s)?

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(New roof, furnace, or electrical system)

Have you added a home security system?

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No

Have you started a home-based business?

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Have you purchased a secondary residence, including a condo or timeshare?

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Have you started participating as a service provider in the home sharing economy?

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(Airbnb, VRBO)

Please explain any changes to your home.

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Please do not include sensitive, private information in this area.

Your Automobiles and other "Vehicles"

Please think back over the last year when answering these questions.

Have you added an automobile, watercraft, or recreational vehicle?

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Have you added any new drivers?

Yes

No

Have you added a vehicle provided by an employer?

Yes

No

Have you had a child leave home to attend school or no longer considered a dependent?

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Have you started participating as a service provider in the ridesharing economy?

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(Uber, Lyft, Sidecar)

Please explain any changes to your automobiles and "other" vehicles.

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Your Other Life Events

Please think back over the last year when answering these questions.

Have you added or changed ownership of any assets including titles, trusts or LLCs?

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Have you hired domestic help, nanny or housekeeper, either full or part-time?

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No

Have you purchased jewelry, art or other valuables that need to be added? Are there items that need to be changed or deleted?

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No

Have you had a significant change in net worth?

Yes

No

Have you accepted a position on a board(s) of a profit or nonprofit organization(s)?

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No

Please explain any changes.

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Please do not include sensitive, private information in this area.

Additional Protection

Need additional insurance? Just let us know how we can help.

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Our Riverside, RI Office

994 Willett Avenue

Riverside, RI 02915

Our Central Falls, RI Office

997 Dexter Street

Central Falls, RI 02863

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