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Important Numbers:
Office: 530.677.8755
Toll Free: 800.677.8181
Fax: 530.677.8314
License: 0C13447
Email Us:
Information
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Winery & Vineyard
Complete coverage for Wineries & Vineyards:
*
Contact Name:
*
Phone number:
(555-555-1234)
*
Email address:
Business Name:
Mailing address:
Physical Address (if different from Mailing):
Property Location:
Building #1:
Area:
Construction Type:
Value:
Building #2:
Area:
Construction Type:
Value:
Additional Buildings:
Yes
No
Residence:
Area:
Construction Type:
Value:
Off site storage address:
Major Equipment:
Bottling Line:
Labeler:
Forklift:
Other:
Total value of other equipment including tanks:
Cooperage:
# of Stainless Steel Tanks:
Gallons:
Gallons:
Barrels French #:
Barrels American #:
Liability:
Total Sales:
Bulk Wines:
Case Wines:
Wines sold onsite/internet:
Wine produced for others:
Gallons bulk produced annually:
Average case wine value:
Cases sold annually:
Cases stored on site:
Acres of Property:
Acres of vineyard:
Years of experience of prinicpal:
Any previous insurance losses: