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Downhole Tool Insurance

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

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: __________________

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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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Form W-9 (Rev. March 2024) Request for Taxpayer Identification Number and Certification Department of the Treasury Internal Revenue Service Go to www.irs.gov/FormW9 for instructions and the

Cyber & Privacy Risk Glossary CYBER RISK CONTROL TERMS AND CRITICAL CONCEPTS CYBER RISK CONTROL TERMS AND CRITICAL CONCEPTS Page 2 of 7 U.S. Risk | Cyber & Privacy Risk Glossary Access

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Our agents have made U.S. Risk’s exclusive Oilfield Consultant Program a big success since its launch. Let’s keep the momentum going with you! The program is administered by U.S. Risk

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