Insurance Premium Survey

NDGDA is working with the ND Insurance Department and the ND Department of Agriculture to find solutions to the rising cost of insurance faced by those in the grain industry. Please help us identify the scope and extent of higher insurance costs affecting members by filling out this short survey. The information will be presented in a generic manner and no locations or company names will be used or be identifiable in the data.

Your Company: Required

Current Valuation of Property Being Insured: Required

Previous Valuation of Property Being Insured: Required

Previous Carrier & Premium: Required

Renewal Carrier & Premium: Required

Previous Deductible: Required

Current Deductible: Required

Type of Construction - Your Facilities (check all that apply): Required

Wood Crib

Steel

Concrete

Any Type Denied Renewal Coverage (check all that apply):

Wood Crib

Steel

Concrete

Optional Information: Claims History - Current Year:

Optional Information: Claims History - 1st Previous Year:

Optional Information: Claims History - 2nd Previous Year:

Comments:

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