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Get EORisk Application for B&M Indemnity Insurance 2009-2024

____ and applicable amount: ____ $0 to 500,000 ____ $500,001 to 1,000,000 ____ $1,000,001 to 3,000,000 ____ $3,000,001 to 5,000,000 ____ over $5,000,000 2. 3. 4. 5. (10-09) ____ $0 to 500,000 ____ $500,001 to 1,000,000 ____ $1,000,001 to 3,000,000 ____ $3,000,001 to 5,000,000 ____ over $5,000,000 Do the current liabilities exceed current assets? If yes, please provide details on a separate page. Yes No Do long-term liabilities exceed 75% of total assets? If yes, please provide details .

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