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... toward lowering anxiety levels in the coming months! Thanks so much for your cooperation. &# 160 QUICK RENEWAL CHECKLIST Account____ Date____ Have you made any major capital expenditures during the year? YES____ NO____ Have you paid or disposed of any major capital asset during the past year? YES____ NO____ Have you purchased, leased, or acquired any real property or locations (including vacant land) during the past year? YES____ NO____ Have you upgraded your procedural or premises security system (by installing an alarm, etc.) during the past year? YES____ NO____ Has your company engaged in any new activities, new products, or new operations during the past year? YES____ NO____ Have you entered any joint ventures, new corporations, or partnerships ... the past year? YES____ NO____ Has the financial control, share structure, or gross sales changed substantially during the past year? YES____ NO____ Have there been any unreported legal actions brought against you during the past year? YES____ NO____ Are any employees of your company not covered by Workers Compensation coverage? YES____ NO____ Did you sponsor any teams or conduct any unusual promotional activities during the past year? YES____ NO____ Have there been any changes in your operation during the past year which, in your opinion, may expose you to potential loss? YES____ NO____ The information provided here is accurate and complete to the best of my knowledge as of this date. ____ ___ ____ ____ Insured's Signature Date Agent's Signature Date Login or Register ...

... property or locations (including vacant land) during the past year? YES_______ ...