Meridian Insurance
Spec Sheet — Commercial
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General Information
Date
Agent
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Mike Hokanson
Mason Abbott
Kevin Jensen
Nathanael Cook
Jennette Roylance
Tiffany Taylor
Ashtyn Cook
Isabel Sanders
Client Type
New Client
Existing Client
Policy
New
Replacement
Renewal
Client Information
Client Name
Contact Person
Cell Phone
Email
Secondary Cell Phone
Secondary Email
Address
City
State
ZIP
Policy Information
Policy Type
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Workers Comp
Auto
General Liability
Property
Commercial Package
Builders Risk
Cyber
Pollution
EPLI
Other
Policy Number
Policy Period
Effective Date
Premium
$
General Agent
Carrier
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Auto Owners
Progressive
Nationwide
Hartford
Cincinnati
WCF
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Issuing State
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AL
AK
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AR
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DE
FL
GA
HI
ID
IL
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IA
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MA
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ND
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OR
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Billing
Billing Type
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Mortgagee
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