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**Information received from this Florida Errors & Omissions Insurance quote request form sent to "YOUR AGENCY NAME" will be for our use only and will not be sold, given to or distributed to any other parties. A quote will be based on the Florida errors and omissions insurance information provided and does not guarantee acceptance of the risk by us. The precise coverage afforded is subject to meeting underwriting guidelines, and the terms, conditions and exclusions of the policy as issued. By submitting this request you acknowledge that this is neither an offer to insure nor a guarantee of insurance. Completion of this form does not entitle you or your business to a Florida Errors & Omissions Insurance policy. We are licensed in Florida and will not supply E & O insurance quotes to other states.
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