Additional Vehicle Request

Request By:

Insured Name:

Policy Number:

Phone:

Fax:

E-Mail Address:

1.	Year:
2.	Make:
3.	Model:
4.	Last 6 Digits of Vehicle Vin#:
5.	Cost of Vehicle:
6.	Loss Payee/Additional Insured:
7.	If additional insured applies, should we include to the policy above?:
8.	Is the Vehicle Leased?:
9.	If yes, what is the Named & Address of the leasing Company: (Have a box large enough in order to add all the information!!!
10.	Account Number of Lease?:

Method of Delivery:

Mail:

Fax:

Email:

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Commercial Property and Casualty

At Sprezzatura we pride ourselves on taking a hands-on approach to the underwriting process. By working closely with you we can fully educate our underwriters on your business and its operations, allowing us to customize terms, conditions and rates for each risk distinctively. Always available to our clients is a support staff to assist with loss control, claims handling and all else pertaining to the field of insurance. Meanwhile, our standard quarterly reviews utilize...

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