Commercial Lines Quote

Type of Insurance needed: General Liability, Property, BOP (GL & BPP: Bis Pers Prop), Commercial Auto, Work Comp, Umbrella, Inland Marine.
Type of Business (Corp, Sole Prop, LLC). If Partnership, list partners name & address:
Please include a detailed description of operations*
Annual Gross Revenue
Name Of Business Owner
Number Of Full & Part Time Employees
Year Business Was Established
Years of Experience in Field
Please list current or previous carrier & amount of years covered.
Please list loses in the last 5 years.
Amount of Business Equipment Owned (Tools, Furniture, Equipment, Electronics)
Applicable for BUSINESS PERSONAL PROPERTY / INLAND MARINE

Commercial Auto Quote
Name, Date of Birth, and Drivers License # of all company Drivers
Applicable for COMMERCIAL AUTO
Year, Make, Vin of all company vehicles

Commercial Building
Building Owners please provide Year Built, Square Footage, and any updates done to property in the last 10 years
Applicable for BUILDING
Business Tenants “What is the square footage you are leasing for your business.
Work Comp
Please list number of employees, each employees role, full or part time, amount of annual payroll.
Applicable for WORKERS COMP
Please attache a copy of your current insurance!
Max. file size: 98 MB.
Please provide any information that was not asked that you feel that we should know!
Preferred Payment Method
Current Monthly Payment

More than just insurance