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Diplomax

is a service mark of

Massamont Insurance

Agency, Inc.

 

Program Administrator

PO Box 1170

Greenfield, MA 01302

 

T. 800.444.3916

F. 413.774.3916

 

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Diplomax Application Forms
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School Insurance Program Application(01-07)
 
Supplemental Applications
Professional Coverages
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education entity (01-07)
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CT & RI Brokers  School Board EPLI, New Business.  
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CT & RI Brokers  School Board EPLI, Renewal Business

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Property Insurance

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BuildersRisk(03-06).doc

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Vacant, or Unoccupied Building Insurance Application03-06)

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Statement of Values (Excel Format)

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Terrorism Coverage Acceptance / Rejection Form

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Marine Insurance
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Ocean Marine - Hull P & I
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Ocean Marine - Marina Operators Liability Insurance
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Umbrella Policy

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 WH Greene Umbrella Application(2007)

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Surplus Lines Affidavits

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Connecticut

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Massachusetts

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Rhode Island