Name: Foresight Insurance, LLC
Address: 11821 Parklawn Dr, North Bethesda, MD, 20852, US
Telephone: (301) 985-2667

Business Name & Legal Entity:
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Description of Operations:
Do you own or rent the business premises?
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Business personal property amount: (If you are a tenant include betterments & improvements) $
General Liability & Workers Compensation
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Number of Employees
Eligibility Questions:
During the past three years has any company ever cancelled, declined, or refused to issue similar insurance to the application?
- Yes
- No
If yes, explain
Has the insured or applicant had prior coverage?
- Yes
- No
Has the insured or applicant had any prior claims or losses in the last 3 years?
- Yes
- No
If Yes, please provide loss information
Has the applicant filed for bankruptcy in the past 5 years?
- Yes
- No
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