Valley Insurance / A. Mason Blodgett and Assoc. has been endorsed bye the Liberty Baptist Fellowship to provide a special insurance program. This insurance GAP program is underwritten by the Guide One insurance Company. Please fill out and submit the form below and Don Beeman, Paul Janofsky or Terri Cousins will contact you to ask a few more questions and  hen provide you with a quote.

Church Name Contact Name/Pastor Contact/Pastor phone Number Contact/Pat E-Mail Church Street Address Church City, State , Zip Denomiation Number of Members Federal Tax ID ( need in order to quote) Is the Church a non profit yes no Miles to Fire Station Feet to fire Hydrant Fire Department Name Inside City Limits Yes No Electrical Circut Breakers Yes No Value of Chuch Contents Value of Minister's Property Musical Instrument Value and type Square Footage Buliding Construction Year Built Numer of Stories 123more Smoke Detectors Yes NO Alarm Sytems(s)Type Sprinklered Yes NO Partial Name and adress of Landloard Image Verification Please enter the text from the image: [ Refresh Image ] [ What's This? ]

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