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James Cantwell
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Robert Crist
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RENTERS INSURANCE
Proposed Effective Date
Applicant Name
Phone Number
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Email Address
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Mailing Address
Property Address, if Different
Estimated Replacement Cost of Your Personal Property Limit
Additional Coverage for Jewelry, Fine Arts,
Collectibles or Silverware
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Year of Construction
Number of Stories
Burglar Alarm
YES
NO
If Yes, Central Station
YES
NO
Central Station Fire Alarm
YES
NO
Smoke detectors
YES
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Any Pets
YES
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Any Owned Autos
YES
NO
CF&P insurance | P.O. Box 1979 | Oakland, CA 94604 | OFFICE PHONE (510) 433-4200
