Contact Address:
Norton & Siegel, Inc.
PO Box 220
Babylon, NY 11702
"Remember, All Our Policies Come With an Agent!"
# Bedrooms:
# Bathrooms:
# Fireplaces:
#
Chimneys:
Special
features (i.e., deck, air
conditioning, alarm systems, pool, etc.)
Coverages:
Dwelling Cov. $
Contents $
Liability Cov. $
Deductible $ ($250, $500, $1,000, etc.)
Comments/Remarks (describe any scheduled jewelry, in-home
business, oil tank location, or other special coverages/remarks here):
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