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AM General Liability Renewal Form

You are here: Home1 / AM General Liability Renewal Form

AM General Liability Renewal Survey

"*" indicates required fields

Basic Contact Information

We will also send a copy of your responses to this e-mail.

General Liability

Do you have any new locations within the last 12 months?*
Have you signed any new contracts requiring you to increase or adjust your coverage limits or add special language?*
Were there any safety or security incidents that occurred that need to be discussed with us?*
Do you believe your liability limits are adequate for your business risks?*
Does your company provide any employee benefits such as group health, retirement, or voluntary benefits?*
Do you use any subcontractors or pay anyone with a 1099?*
Have you secured certificates of insurance from all of your subcontractors showing at least the same worker's compensation insurance limits as you carry?*
Do you require copies of certificates from all subs before they begin working?*
Do you want to discuss coverage options for claims related to discrimination, failure to comply with disability requirements, or harassment claims?*
Do you want to discuss coverage options for information and data privacy and security risks, such as regulatory, network security, virus transmission, extortion, ransomware, computer fraud, invoice manipulation, social engineering, phishing scams, notification, credit monitoring, defense, and forensic costs?*

Our Mission

Our mission is simply stated, yet earnest. We provide families and business owners peace of mind by safeguarding their assets through risk management expertise. Our proven process ensures you understand your risk tolerance while feeling informed, educated, and protected.

How Can We Help?

Please do not include any sensitive personal information like your social security number here.

Wayzata

1907 Wayzata Blvd Ste 210,
Wayzata, MN 55391

Call or Text

952-930-3661

Hours

Mon. – Thurs.: 8:00 am – 4:30 pm
Friday 8:00 am – 2:00 pm

Coon Rapids

8960 Springbrook Drive, Suite 100
Coon Rapids, MN 55433

Call or Text

763-755-7000

Hours

Mon. – Thurs.: 8:00 am – 4:30 pm
Friday 8:00 am – 2:00 pm

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