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  Weather application  
 
* = Required to obtain a quote/contract.
Broker/Agent
    
Company:  
* First Name: spacer
* Last Name:  
Mailing Address::  
City:  
State:  
  Zip:  
* Phone:  
Fax:  
* E-Mail Address:  
Agent Licensed?   Yes
No
E&O Insurance?   Yes
No
Insured
    
Insured Name:  
Contact Person:  
Address:  
City:  
State:  
Zip:  
Phone:  
Fax:  
Email Address:  
Location
    
Event Type:  
Event Location:  
Zip Code:  
Has event ever had weather history:   Yes
No
If Yes, when:  
If applicable, loss history:  
Carrier Used:  
Dates of Events
Hours of Events
Hours of Coverage
Limit Per Day
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Rain
    
Total Accumulation:   1/100"
1/20"
1/10"
1/5"
1/4"
1/3"
1/2"
3/4"
Other
Rain Free Hours
  hours out of hours
Rain Free Hours Definition:  

1/100"
2/100
3/100
5/100
Other

Alternative Peril Options
  Snow
Lightening
Fog
Temperature
Max/ Min
Hurricane
Tornado
Wind Speed
Adverse Weather
No Fly
Claim Settlement
   
Closest National Weather Station (as identified by CGA, Inc.)
On-Site Independent Weather Observer (to be approved by CGA, Inc.)

If an approved independent weather observer is not secured by the Insured, for purposes of claim verification, CGA, Inc. will designate the closest approved recording station in the terms of the contract. Should the Insured require additional information regarding an observer, please contact CGA.

Coverage is subject to a completed application, full premium payment a minimum of 10 days prior to coverage inception, and acceptance/approval of CGA, Inc.

WEATHER INSURANCE IS PREPAID, FULLY EARNED AND CANNOT BE CANCELLED
 
Call CGA with your promotion details:
800-242-7789/Fax: 574-271-1747 or email: info@cgainc.com
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2006 CGA, Inc., All Rights Reserved.
12748 Sandy Drive, Suite 110 P.O. Box 518 Granger, IN 46530
(574) 273-5625 (800) 242-7789 Fax: (574) 271-1747
email: info@cgainc.com