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Personal Umbrella Rater
Rater
State
IBA West / IIABA Member
Applicant Name
Desired Limit of Umbrella Liability
Uninsured Motorist Coverage
Desired Limit of Uninsured Motorist Coverage
Total number of automobiles, motorcycles and other vehicles licensed for road use
Total number of ATV's, snowmobiles, and other vehicles not licensed for road use.
Number of Drivers
Automobile Limits
*Minimum Limits for an Umbrella Policy are 250,000/500,000/100,000
Automobile UM/UIM Limits
Total Number of Motor Homes
Rental Units
Any Watercraft ?
(includes jet-skis / waverunners, etc.)
Secondary Residence
Vacant Land (Total Combined Acres)
Farm