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Business_Name: Franklin Associates
Address: 5585 SW 10th Avenue
City: Miami
Zip_Code: 33125
Contact_Name: Mike Smith
Phone: 305-555-4444
Extension#: 55
Fax: 305-555-4545
Years_in_Business: 19
Contact_Email: mikes@yahoo55.com
Fed_ID: 525288994

Current_Insurance_Co: Zurich
Current_Policy: ZX555555-55
Insurance_Expiration: 9/5/09
Type_of_Profession: Doctor
Specialty: surgeon
Do_you_perform_surgery: yes
Description_of_Business_Operations_line1: brain surgeon

Type_of_Business_or_Practice: Partnership
Type_of_Coverage: Claims Made
Liability_Coverage_Amount_Desired: 5mil / 10mil

Retroactive_Date_(claims_made_policy): 10/5/2001
5_yrs_Claims: yes
Amount_paid_for_each_claim: $200,000
Description_of_5_Years_Claims: after surgery recovery infection
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