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Business Insurance Quote


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Business name
Required
Number of full-time employees
Required
Number of part-time employees
Required
Will this replace an existing business policy?
Required

Select one or more common coverage types as well as any additional coverage types you are interested in.
Common Coverage Types
General Liability: Protects the assets of a business in case of a lawsuit related to injury or property damage.
Optional
Business Owners Policy (BOP): Combines general liability and business property coverage into a single policy.
Optional
Commercial Auto: Provides coverage for business-use vehicles. Can range from one car to an entire fleet.
Optional
Workers Compensation: Protects employers from lawsuits resulting from workplace accidents. Also provides medical care and lost income compensation to employees injured on the job.
Optional
Group Health: Provides health benefits to a business's employees.
Optional
Additional Coverage Types
Bonds: Surety – Guarantees compliance with local laws and fulfillment of contractual obligations / Fidelity – Protects business for losses related to fraudulent employee acts
Optional
Directors & Officers Liability: Provides financial protection for directors and officers in case of a lawsuit related to the performance of their duties as they relate to the company.
Optional
Errors & Omissions: Provides protection in the event that an error or omission by the business or its employees has caused a financial loss for a client.
Optional
Business Street Address
Required
City
Required
State
Required
ZIP / Postal Code
Required
SIC Code
Optional
Legal Entity/Status
Required
Number of Years in Business
Required
Gross Annual Payroll
Required
Gross Annual Revenue
Required
Years of Owner Experience within Industry
Required
Brief description of the business
Required
General Liability Information
Desired Amount of General Liability Coverage
Optional
Business Hours
Optional
Select Additional Coverage Types to Discuss with the Agent
Optional


Property Information
Year Built or Last Updates Completed
Optional
Construction Type
Optional
Number of Stories
Optional
Total Square Footage of Building
Optional
Square Footage of Space Occupied by this Business
Optional
Burglar Alarm Type
Optional
Fire Alarm Type
Optional
Desired Deductible Amount
Optional
Physical Building Coverage Limit
Optional
Business Personal Property Amount
Optional
Additional Properties to Insure?
Optional

If So, how many?
Optional
Select Additional Coverage Types to Discuss with the Agent
Optional

Commercial Auto
Number of Vehicles
Optional
Number of Drivers
Optional
Maximum distance traveled to a delivery or worksite
Optional
Desired Commercial Auto Liability Limit
Optional
Desired Uninsured/Underinsured Motorist Limit
Optional
Desired Deductible
Optional
Select Additional Coverage Types to Discuss with the Agent
Optional

First Name
Required
Last Name
Required
E-Mail Address
Required
Best contact number
Required
Submission Validation
Required
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.




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