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Brokerage Information
Brokerage
Address
City
Province
Postal Code
Phone Number


Contact Information
First Name
Last Name
Phone Number
Email


Brokerage system used
Brokers Workstation Version
Cim-Data Version
comXP Version
Power Broker Version
Policy Works Version
Signassure Version
sigXP Version
TAM Version
In-house Describe
Other Describe


List of insurers regularly used (optional)
Ascentus Markel
Aviva Missisquoi
AXA Optimum
Chubb Pembridge
Coachman Perth
Dominion of Canada Pilot
Echelon Promutuel
Economical Royal & Sun Alliance
Federation SGI Canada
Gore Mutual Traders
Guarantee Union Canadien
ICPEI Unique
Intact Wawanesa
Intact Novex Waterloo
Jevco Western
Kingsway Western General
Lloyds York Fire
Lombard
Other:
Number of Brokers





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