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Products
General Liability
Auto/Fleet
Professional Liability
Directors and Officers
Umbrella Liability
Environmental Liability
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About CCV
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Contact
Quick Quote
Quick Quote
Comms
2015-07-10T05:50:56+00:00
MySchool Quick Quote Request
Date
*
Name of Childcare
*
Contact Name
*
First
Last
Phone
*
Email
*
Member of:
ADCO
CCMA
OFIS
Address of Operations
Address of Operations
*
Address of Operations
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
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Andorra
Angola
Antigua and Barbuda
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Austria
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Belize
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Brunei
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Burundi
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Cameroon
Canada
Cape Verde
Central African Republic
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Chile
China
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Comoros
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Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
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Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
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Korea, North
Korea, South
Kuwait
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Laos
Latvia
Lebanon
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Liberia
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Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepa
Netherlands
New Zealand
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Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
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Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
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Senegal
Serbia
Seychelles
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Singapore
Slovakia
Slovenia
Solomon Islands
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South Africa
Spain
Sri Lanka
Sudan
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Sweden
Switzerland
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Tonga
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United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Building Ownership
*
Owner
Tenant
Physical contruction of building childcare occupies:
a) Fire Resistive
*
Concrete walls, roof and floors. (i.e. high rise building)
Yes
No
b) Masonry non-combustible
*
(i.e. stone church, industrial strip mall, public school)
Yes
No
c) Masonry
*
(masonry brick, wood floors and roof i.e. churches, purpose built)
Yes
No
d) Brick veneer - if yes, select type
*
Yes
No
Brick veneer over wood floors/roof
Frame walls, floor, roof
Building details
Year Built
*
Number of Stories
*
Total Area Occupied
*
Hydrant protected?
Yes
No
Current insured values (in $):
Building
What is the value of your building (if you are an owner)?
Contents, tenants improvements & playground
*
What is the value of the contents, tenants improvements & playground?
General liability limit
$1,000,000
$2,000,000
$3,000,000 or more
Directors & Officers liability limit
$1,000,000
$2,000,000
$3,000,000 or more
Errors & Omissions liability limit
$1,000,000
$2,000,000
$3,000,000 or more
Enrollment
Do you provide transportation for your children?
Yes
No
No. of Full time
*
How many full time children are in your care?
No. of Part time
*
How many part time children are in your care?
Staffing
No. of full time employees
*
No. of part time employees
*
Revenue
What is your annual revenue?
Existing Insurance Company & Renewal Date
I consent to the use of this information for quoting purposes
*
Yes
No
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