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8401 N. Central Expressway, Suite 1000 Dallas, Texas 75225 Toll Free: (800) 232-5830 | usrisk.com REV 12.10.2020 RECENTLY BOUND ACCOUNTS — ENVIRONMENTAL ■ Agriculture Cooperative – Site

Energy Division Recently Bound Accounts 8401 N. Central Expressway, Suite 1000, Dallas, Texas 75225 Toll Free: 800.232.5830 | Local: 214.265.7090 | Visit us at usrisk.com IN-HOUSE

Specialty Underwriting | Assisted Living Program Building solid, professional relationships is the foundation of success. U.S. Risk is committed to this concept and considers it one of the most

OUR TOP CLASSES COVERAGES AVAILABLE ■ Professional and General Liability ■ Data Breach ■ Employee Benefits ■ Sexual Abuse/Molestation COVERAGE HIGHLIGHTS ■ Covers employees, directors,

Take1 is a division of U.S. Risk, LLC and its affiliate companies. U.S. Risk, Take1, and the Take1 logo are registered trademarks of U.S. Risk Insurance Group, Inc. Copyright ©2022 U.S. Risk

Take1 is a division of U.S. Risk, LLC and its affiliate companies. U.S. Risk, Take1, and the Take1 logo are registered trademarks of U.S. Risk Insurance Group, Inc. Copyright ©2022 U.S. Risk

Take1 is a division of U.S. Risk, LLC and its affiliate companies. U.S. Risk, Take1, and the Take1 logo are registered trademarks of U.S. Risk Insurance Group, Inc. Copyright ©2022 U.S. Risk

Take1 is a division of U.S. Risk, LLC and its affiliate companies. U.S. Risk, Take1, and the Take1 logo are registered trademarks of U.S. Risk Insurance Group, Inc. Copyright ©2022 U.S. Risk

Scottsdale Insurance Company Home Office: One Nationwide Plaza Columbus, Ohio 43215 Adm. Office: 8877 North Gainey Center Drive Scottsdale, Arizona 85258 Scottsdale Indemnity Company Home

Scottsdale Insurance Company Home Office: One Nationwide Plaza Columbus, Ohio 43215 Adm. Office: 8877 North Gainey Center Drive Scottsdale, Arizona 85258 Scottsdale Indemnity Company Home

HIAPP (1/08) 1 of 4 HOME INSPECTORS ERRORS & OMISSIONS APPLICATION 1. Name of Applicant (Company Name if applicable):____________________________________________________ Street: __________________

Page 1 Aircraft Insurance Application U.S. Risk Insurance Group, Inc. Aircraft Insurance Application Name of Insured: Address of Insured: Phone: Business ( ) -

PAGE 1 OF 9 Group Homes Application U.S. Risk, LLC | 14241 Dallas Parkway, Suite 850, Dallas, Texas 75254 U.S. Risk HealthcarePros U.S. Risk HealthcarePros is a Specialty Program of U.S. Risk,

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Take1insurance.com | Take1 is a Division of U.S. Risk, LLC | Rev. 03.01.2021 First Notice of Claim Loss and Damage Form GENERAL INFORMATION 1. Named Insured: 2. Address: 3. City:

Managed by: Scott Carroll, Director of Take1 1551 N. Tustin Ave., Suite 430 Santa Ana, CA 92705 Phone: (800)856-7035 scott@take1insurance.com Application Touring Entertainer Supplemental

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