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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 *
Number of full-time employees *
Number of part-time employees *
Will this replace an existing business policy? *

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.
Business Owners Policy (BOP): Combines general liability and business property coverage into a single policy.
Commercial Auto: Provides coverage for business-use vehicles. Can range from one car to an entire fleet.
Workers Compensation: Protects employers from lawsuits resulting from workplace accidents. Also provides medical care and lost income compensation to employees injured on the job.
Group Health: Provides health benefits to a business's employees.
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
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.
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.
Business Street Address *
City *
State *
ZIP / Postal Code *
SIC Code
Legal Entity/Status *
Number of Years in Business *
Gross Annual Payroll *
Gross Annual Revenue *
Years of Owner Experience within Industry *
Brief description of the business *
General Liability Information
Desired Amount of General Liability Coverage
Business Hours
Select Additional Coverage Types to Discuss with the Agent


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

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

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

First Name *
Last Name *
E-Mail Address *
Best contact number *
Submission Validation
Required

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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