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HOLMAN INSURANCE BROKERS LTD. 3100 Steeles Ave. East Suite 101 Markham Ontario Canada L3R 8T3 Telephone 905-886-5630 Toll Free 1-800-567-1279 Fax 905-886-5622 Website www. INSURANCE HISTORY Current Insurer Expiry Date Policy Expiring Premium Previous insurance cancelled declined or non-renewed in the last 10 years YES or Any Claims in Last 10 years Date HIBL SF 06/12 app NO If yes please explain NO If yes provide full details including date of loss description and the amount paid. Amount Paid...

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