Outdoor Educators Insurance Quick Quote

At Payne Financial Group, we understand the importance of risk management and asset protection and we appreciate your interest in a quote. To better serve you, please provide the information below. Or simply call Ted Fedyk at 406-551-1401 from our OEI program.

 

Applicant DBA:*
Contact Person:*
Phone:*
Fax:
Email:*

General Information:

Briefly describe the organization and its programs*

Liability Coverage:

 
Number of Employees
Total Payroll:
Total Annual Revenue:
Total Program Days for this coming year:
Total Students in each program for this coming year:
Program Days X Students = Total Student Days

Property Coverage:

 
Buildings:
Approximate Value:
Construction Type:
Contents:
Approximate Value:
Inventory:
Annual Value AVG:
Equipment (Scopes, Rafts):
Value:

Auto Coverage

 
Do you own any vehicles?:
   
Number of Vehicles:
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