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**Please note – For our existing clients looking to make changes to current policies – coverage cannot be bound or added to your existing policy until you speak to one of our licensed brokers who can confirm that coverage is in fact available and activated.**

**For our new or potential clients– by filling out and submitting this form or one of our online quote request to Jamieson-Hilts, you are NOT automatically covered for this insurance. In order to secure coverage legally, you will need to speak to one of our licensed brokers and complete a full application for insurance.**

Please call us if you have any questions: 519-539-2071