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<br /> 'I <br /> 4. List all companies represented through direct agency contracts (indicate if the .1 <br /> company actively writes and services governmental risks): I <br /> COMPANY WRITE GOVERNMENTAL RISKS? <br /> American States No I <br /> Auto,Owners No <br /> Bituminous Casualty No I <br /> Crum & Forster No <br /> Capitol Indemnity No <br /> Chubb No I <br /> CNA Insurance Companies Yes <br /> Firemans Fund No I <br /> General Casualty No <br /> ITT Hartford Yes <br /> New Hampshire No I <br /> St. Paul Fire & Marine Yes <br /> State Fund Mutual Yes <br /> Citizens No I <br /> .. <br /> 5. Furnish the following information concerning your Agency's Professional Liability I <br /> Insurance: <br /> Name of Insurer: Employers Reinsurance I <br /> Limit(s) of Liability: $3,000,000 I <br /> Deductible: $10,000 <br /> I <br /> 6. List your agency's premium volume rates*, by category, as follows: I <br /> Personal Lines ....3.. <br /> Governmental Lines ....3.. I <br /> Commercial Lines .A.. I <br /> .. <br /> 5 <br /> I <br />