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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 Rarnsey in the initial stage of <br />selecting an agent/broker or company representative for its property and casuahy insurance <br />program. All responses will be held in strict confidentiality. <br /> <br />PART ONE <br /> <br />Name of Agency/Company: HADTKATH & ASSOCIATES INC. <br /> <br />Address: 199 COON RAPIDS BLVD, SUITE 110 COON RAPIDS, MN 55433 <br /> <br />Telephone: ~1~ 784-9576 <br />Check One: Broker Independent Agent <br /> <br />X <br /> <br />Principal/Account Executive: MICHAEL HADTRATH <br /> <br />Prima,q,, Assistant: LINDA RAMB0 <br /> <br />Direct Writer <br /> <br />Account Executive's Qualifications: <br /> <br /> Number of Governmental Clients: 12 <br /> <br /> Numar of Other Clients: 400+ <br /> <br /> Length of rime with Agency/Company:.. PLEASE SEE RESUME <br /> <br /> Lenzh of career in Insurance or Risk Mgmt: PLEASE SEE RESUME <br /> <br /> Professional Designations: PLEASE SEE RESUME <br /> <br />Please attach Resume' <br /> <br />Page 1 <br /> <br /> <br />