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THE PRODUCERS FIRM P. O. Box 879 Bristol, CT 06011 Tel: (860) 5848461 Fax: (860) 5848462 www.jegoss.com BETTER INFORMATION FOR BETTER QUOTES Agents Name Agents Address & Telephone Number Name of Proposed
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Form producers firm is a document used to report information about producers firms and their activities.
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The purpose of form producers firm is to collect and report information about producers firms for regulatory or statistical purposes.
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