Commercial Property Insurance Quote

General Information

Name of Insured

Address

City

State

Zip Code

Business Phone

Fax Number

Email Address

Location Address (type "same" if same as above)

City

State

Zip Code

Property Questions

Age of Building/ Year Built

Type of building construction

Number of stories

Other occupancies

Square feet you occupy

If the building is over 25 years old, please answer the following:

Year Electricity was updated

Is it on circuit breakers?

Year Plumbing was updated

Copper or Galvanized plumbing?

Year Building was last re-roofed

Type of roofing material

Type of heating system in the building

Protective Devices

Burglar Alarm

Central Station or local alarm?

Name of alarm company

Is the building sprinklered?

Are there smoke detectors?

Liability Questions

Previous Insurance Carrier

Policy number

Prior premium

Policy renewal date

Please provide information about your business:

Years in business

Projected Gross annual receipts

Projected annual payroll

Describe your business, product or service:

Coverage Limits

Building

Contents (equipment, inventory, supplies, etc.)

Deductible

Loss of Income

Money and Securities

Glass or signs

General Liability Limit

Non-owned and Hired Automobile Liability

Is liquor liability needed?

If Glass Coverage is needed, please provide dimensions:

Please list other coverages you may need:

Miscellaneous Information

Name of Additional Insured (Landlord or vendor)

Mailing Address

City

State

Zip Code

Additional Comments

Please give any additional comments you feel appropriate for this quotation. If you have additional information where there was not enough fields above, please enter them here.

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Commercial Property Insurance Quote