It's a quick and simple process. Fill out the sections below with the required information to get your free quote.
Step # 1 of 7 - Personal and contact information
Your contact information will be kept private and secure.
What is your name: *
Contact Telephone number: *
Email address:*
What is the best way to contact you: * select... Phone Email Either
When is the best time to contact you: * select... Morning Afternoon Evening
Business Name:
Business Address:
City:
State: Zip Code:
What type of entity is the business: * select... Sole proprietorship Partnership Corporation Not-for-profit organization Other
Federal ID # or Social Security #:
Step # 2 of 7 - Current insurance information
Current insurance company: *
What is your current premium? (optional):
How long have you been with your current insurance company: * 1 year 2 years 3+ years Not currently insured No prior insurance
Current policy expiration date: * Month Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030
Step # 3 of 7 - Desired Coverages
Please check any and all coverages you wish to have quoted. Bond Commercial Auto Commercial Liability Commercial Property Commercial Umbrella Directors & Officers Liability Disability Group Health Group Life Professional Liability Workers' Compensation Other
Step # 4 of 7 - Business Information
# of Full-Time Employees:
# of Part-Time Employees:
How many years in business:
How many locations:
Please give a detailed description of your business and clientele:
Step # 5 of 7 - Property & Premises Information
Do you own the building you are located in: * select... Yes No
Click here if you own the building.
What is the amount of building coverage on your current policy:
Is there a mortgage on the building: select... Yes No
Click here if you answered "yes" to the above question.
Otherwise, click here.
Please provide general information about the building.
What is the year that the building was built: *
Please describe any updates to the roof, heating, and electrical systems: *
What is the construction of the building: * select... Frame(siding, wood) Brick(wood studs) Masonry Concrete Steel Other
If other, please describe:
How far away is the building from a fire hydrant: *
What is the square foot area of the building: *
Do you have a sign: * select... Yes No
What is the value of the sign: $
Does the building have a have glass plates: * select... Yes No
Please provide general information about the contents (inventory).
What is the value of your contents (inventory): * $
Does your inventory fluctuate more than 25% for a certain season: * select... Yes No
Do you have possession of property of others as a general course of business: * select... Yes No
Step # 6 of 7 - Financial Considerations
Please provide information about the liability portion of the package
What liability limit would you like us to quote: * select... $1,000,000 $500,000 $300,000 $100,000
Would you like employee benefits liability included in the quote: * select... Yes No
Do you own any vehicle: * select... Yes No
Please describe any claims you have had in the past 5 years:*
Do you currently have insurance for your business: * select... Yes No
Reason for requesting a quote:
Did You Know
Fences are not included in most property policies without being separately scheduled.
Step # 7 of 7 - Comments and approval
How did you hear about us: * select... Referral Search Engine
Comments and questions (optional):
By clicking the Submit Button you are agreeing to the Terms Conditions of doing business with our agency via the Internet. Click here to view the Terms & Conditions.
I accept the terms and conditions: * select... Yes No
Please enter your initials to sign this quote: *
