Illinois FAIR Plan Association  

Contact Us: info@illinoisfairplan.com 312.861.0385



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Territory Name:          

  

Protection Class:   

 

 
 

Construction Type:      

 

 
 

Number of Families:    

 

 
 

Deductible:

 

 
 

Policy Type?

 

No of Apartments?

 

Dwelling Coverage Amount?

 

Other Structures Coverage Amount?

 

Contents Coverage Amount?

 

Loss of Use Coverage Amount?

 

Liability Coverage Amount?

$

 

Medical Payment to Others

Coverage Amount?

$

 

 

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