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Attn: Surplus Lines Team Arizona Department of Insurance 2910 North 44th Street, Suite 210 Phoenix, Arizona 850187269 Phone: (602) 3643450 Email: bowler insurance.gov Form E701: Certificate of Public
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Insurance companies or agencies dealing with surplus lines insurance.
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The attention surplus lines team handles the placement of insurance policies that have high-risk exposures and cannot be placed with standard insurance companies.
Insurance brokers and agents are required to file an attn surplus lines team when placing insurance policies with surplus lines carriers.
The attn surplus lines team can be filled out online through the designated filing system provided by the state insurance department.
The purpose of the attn surplus lines team is to ensure that insurance policies with high-risk exposures are placed appropriately with surplus lines carriers.
The attn surplus lines team must include details of the insured, the type of insurance coverage, the policy limits, and the premium amount.
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