Get a Bond - Rovner & Company, LLC

Save time, money & aggravation while lowering your insurance costs.

We work on your behalf to shop multiple companies to find you the best possible coverage and price for your unique situation. Best part? You don’t have to lift a finger, haggle with people, or make a ton of calls. We do all the work for you!

Rovner & Company, LLC 11098 Biscayne Boulevard Suite 100
Miami, Florida 33161 (561) 287-6279

Application for Bond Quote

Refferred By

Contact Name

Name of the Business

Business Owner's Name

Address of the Business

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Owner's Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Owner's Date of Birth

Business Owner's Social Security #

Contact Phone #

Contact Email Address

Federal Tax ID

NPI Number

PTAN Number

Requested Effective Date

Payroll & Sales/Receipts Information

Annual Payroll

Annual Gross Sales/Receipts

Please enter the annual payroll for the company, do not include business owner or corporate officer's salary/payroll.

Any losses in the last three years?

Yes (If Yes, give complete details below in the text box)

Type of Bond

Bond Amount

Nature of Business/Description of Operations:

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