Globe of Death.com Additional Insurred Form

Agent: Judy Eckroth (Has Retired )

New Agent: Jacque Gibbs

Address:
9065 South Pecos Road, Suite 120
Henderson, NV 89074
Northwest corner of Pecos & the 215


Contact Numbers:
Phone: (702) 384-6601
Commercial Lines Fax: (702) 384-4043
Personal Lines Fax: (702) 920-3233

http://www.kandyins.com/contact-us.html


Globe of Death Additional Insurred Insurance Names

This is a direct Message System to jacque@kandyins.com
Production Company Name:

Contact Name
E-mail:
(type in NONE if you don't have one.)
Website Address: (type in NONE if you don't have one.)
Tel: (type in NONE if you don't have one.)
Cel:(optional) (type in NONE if you don't have one.)
Event Date: (type in NONE if you don't have one.)
Please Type the Names of the Additional Insurred #1 (type in NONE if you don't have one.)
Please Type the Names of the Additional Insurred #2
(type in NONE if you don't have one.)
Please Type the Names of the Additional Insurred #3 (type in NONE if you don't have one.)
 
INSURANCE PAGE