State Farm Insurance

Mark P. Miller

6035 Peachtree Pkwy, Suite B

Norcross, GA 30092

Office:    770-242-4008

Fax:       770-242-4018


American Family Insurance
Phil Minnes
3925 River Exchange Pkwy., #370

Norcross, GA 30092
Office: 678-259-9220
Cell:    404-379-8498






Furnishing of any names of vendors provided by Broker or broker's Licensee is done as a ministerial act and only as a courtesy to the undersigned and does not in any way constitute any warranty or representation as to the quality of the vendors, their services or subsequent reports. The undersigned acknowledges that it/they had the option to select any vendor of its/their choice, including any not listed above and that Broker is not responsible for any representation, guarantees, warranties of the selected vendors or their services.  For good and valuable consideration, the undersigned herewith releases the broker and the Broker's Affiliated Licensee from any liability or claim arising our of or in connection with the services of vendor.