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CITY OF RAMSEY <br /> REQUEST FOR INFORMATION <br />AGENT/BROKER OR INSURER REPRESENTATIVE <br /> <br />The purpose of this questionnaire is to assist the City of Ramsey in the initial stage of <br />selecting an agent/broker or company representative for its property and casualty insurance <br />program. All responses will be held in strict confidentiality. <br /> <br />PART ONE <br /> <br />Name of Agency/Company: <br /> <br />Address: <br /> <br />Telephone: (,) <br /> <br />Check One: Broker <br /> <br />Independent Agent <br /> <br />Direct Writer <br /> <br />Principal/Account Executive: <br />Primary Assistant: <br /> <br />Account Executive's Qualifications: <br /> <br /> Number of Governmental Clients: <br /> <br /> Number of Other Clients: <br /> <br /> Length of time with Agency/Company: <br /> <br /> Length of career in Insurance or Risk Mgmt: <br /> <br /> Professional Designations: <br /> <br />Please attach Resume' <br /> <br />Page 1 <br /> <br /> <br />