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Nelson Farms Business Insurance Questionnaire

ATS Insurance Associates is the insurance broker for the Nelson Farms program and work closely with Director Dave Evans and his staff too provide a competitive insurance program for start up business’s.

Business Name:
Sole proprietor DBA: Partnership S-corp C-Corp
Business Address:
City:
State:
Zip:
Phone:
Fax:
E-mail:
Contact Person:
Best time to contact you:

Food Product sold/ Describe your product:

Do you or will you ever have property/inventory stored at any location including your home, office (mailing address) or Nelson Farms?

Will you transport the above property?

Projected Annual Sales:

Value of business property you own:

Anticipated date business will start:

502 Court St. Suite 205 | Utica, NY 13502 | Phone: 315.734.9386 | Fax: 315.734.9535