What is the name of your business?
Please retype the following statement in the space below to reject Flood insurance.
*I certify that I have been given the opportunity to purchase Flood insurance and I have decided to reject this coverage and forego the protection it provides by not purchasing it.
Please retype the following statement in the space below to reject Earthquake insurance.
*I certify that I have been given the opportunity to purchase Earthquake insurance and I have decided to reject this coverage and forego the protection it provides by not purchasing it.
Please retype the following statement in the space below to reject Hurricane, Wind and Hail insurance.
*I certify that I have been given the opportunity to purchase Hurricane, Wind, and Hail insurance and I have decided to reject this coverage and forego the protection it provides by not purchasing it.
Please retype the following statement in the space below to reject Cyber insurance.
*I certify that I have been given the opportunity to purchase Cyber insurance and I have decided to reject this coverage and forego the protection it provides by not purchasing it.
Please retype the following statement in the space below to reject Commercial Excess Liability / Umbrella insurance.
*I certify that I have been given the opportunity to purchase Commercial Excess Liability / Umbrella insurance and I have decided to reject this coverage and forego the protection it provides by not purchasing it.