Orange Insurance | Christmas Tree Lot, Pumpkin Patch Quote
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Orange Insurance and Bonding







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Christmas Tree Lot or Pumpkin Patch Business Information:
Is This a

Christmas Tree Lot or Pumpkin Patch Insurance

(or both):
Owner's First and Last Name:


Business Name or DBA (As Registered or Plan to Register with):


Business Entity:


Business Mailing Address:


City:


State:


Zip Code:
Tree Lot or Patch Address:


City:


State:


Zip Code:
Phone Number (We will ONLY call if we have any questions):


Email Address (This is where we will email your quote):
Dates, Days & Hours of Operation:


Estimated Gross Receipts for the lot:
$

Do Customers Cut Their Own Trees (if applicable):


Describe Goods For Sale Other Than Christmas Trees, Pumpkins and/or Decorations:


Are Power Tools Used; Chain Saws, etc.? If so please list the type and who uses them:


Are Trees For Sale Grown at This Location (if applicable):
Number of Additional Insureds (Landlord/Lot Owners for example.. If Applicable):


If Any (#1):
[Name]
[Address]
[Relationship]

If Any (#2):
[Name]
[Address]
[Relationship]
Insurance Limits:

(Per Occurrence/Aggregate/Products & Completed Operations)
 
Additional Information:
  Additional Comments:

[ © 2010-2017 Orange Insurance® LLC ] [ WAOIC# 774768 | Bond# 6741497 ] [ Corporate Headquarters: Seattle, WA. ] [ 877.288.6103 ] [ email ]

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