A
USTIN (512) 445-4222
SAN MARCOS
(512) 805-8760
Cisneros Insurance Agency
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First Name:
Last Name:
Email:
Contact Phone:
Work Phone:
Address:
City:
State:
Zip code:
DBA:
Corporation (if any)
Type of Business:
Years in Business / Experience
Number of Employees:
Estimated Annual Payroll:
Estimated Annual Receipts:
Current Carrier:
Expiration Date:
Any Loss / Claims:
Type of Insurance Needed:
Property Information/Year Constructed
Owned/Leased:
Structure:
Area:
Updates:
Yes
No
Update Wiring date:
Update Heating date:
Update Plumbing date:
Update Roof date:
Workers Compensation needed (limits)
Number of Additional Insured:
Waivers of Subrogation:
Commercial Liability:
General Aggregate: $1,000,000.00
Product Aggregate: $1,000,000.00
Personal/ Adv Injury:$1,000,000.00
Each Occurrence: $1,000,000.00
Fire Damage: $50,000.00
Medical Expense: $5,000.00
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Cisneros Insurance Group
101 West San Antonio Street
San Marcos, Texas 78666
512.805.8760
San Marcos Hours
Mon - Fri
9:00 am
-
6:00 pm
Sat - Sun
Closed
Call San Marcos
Cisneros Insurance Group
4411 Pack Saddle Pass
Austin, Texas 78745
512.445.4222
Austin Hours
Mon - Fri
9:00 am
-
5:00 pm
Sat - Sun
Closed
Call Austin
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