Janitorial Services Bond

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Company Name:
Contact Person:
City:       State:      Zipcode: 
Phone Number:           E-Mail Address: 
Business Type:
             What does your business do? 

Have you sustained any employee dishonesty losses in the last 6 years?  Yes  /  No
Amount of coverage requested: 
Exact # of Officers or business owners: 
    Are officers to be covered?  Yes /  No
Exact # of Employees (both full & parttime): 

M c G R A T H   I N S U R A N C E   G R O U P

I          N          S          U          R          A          N          C          E

4170 William Penn Highway     Murrysville, PA. 15668
(724) 327-8474        (FAX) 327-7911
Toll Free: 1-800-977-2999    (FAX) 1-888-800-0034