Small/Mid-Size Business Insurance

Small Business: Request for Quote

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Insurance Type:
Business Name:
Contact Name*:
Email Address*:
Phone Number*:
Fax Number:
Business Address:
City, State, Zip:
Fed Tax ID# or SSN:
Number of Owners/Execs:
Business Entity:
Full-Time Employees:
Part-Time Employees:
Est. Annual Payroll:
Est. Annual Receipts:
Years in Business:
Years Experience:

Physical Characteristics

Home Based? Yes No
Building Value ($)
Contents Value ($)
Year Built:
Construction Type:
Total Square Footage:
Number of Stories:
Ownership:
Burglar Alarm Type:
Fire Alarm Type:
Fire Sprinkler Yes No

Current Policy

Current Insurance Company:
Expiration Date:
Expiring Premium ($)
Years Without a Lapse:
Claims in The Last 3 Years:

Coverage Desired

Desired Coverage Limits:
Desired Deductible:
Desired Effective Date*:
Description of Business Operations*:

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To quote a California Business Safety website www.ca-safety.com “If an inspector showed up at your door today and asked for your training records, injury and illness records, written Injury and Illness Prevention Program (IIPP), hazard assessments, and inspection records, could you produce them?” Any business operating with employees needs to implement a formal safety program. The [...]

Commercial or Business Auto Coverage, Why Would I Need It?

It’s obvious if you operate a business as a trucker, an auto service garage, Taxi, Limo service, a tow company, or a motor carrier, you will need special forms of commercial insurance related to driving commercial vehicles and specific to your operations. Other businesses may believe that commercial or business auto coverage is not necessary [...]

Do I Need Garage Liability?

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