Business Risk Review – General Liability Discovery

Business Risk Review – General Liability Discovery

At Bullington Insurance Group, we don’t start with policies, we start with understanding how your business operates, where risk lives, and what could interrupt your revenue. This discovery helps us evaluate exposures, identify coverage gaps, and recommend solutions tailored to your operations, whether through insurance, risk transfer, or operational controls.
Learn more about us on our website - www.thinkbig.insure

The more you tell us about your business, the better we can assist you in finding your coverage gaps. Some of the questions are optional, but the more info you can give the better!
Business Name*
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
By answering Yes, you consent to receive text messages from Bullington Insurance Group at the number provided, including automated messages and messages related to Customer Care. Consent is not a condition of purchase. Msg & data rates may apply. Msg frequency varies. Unsubscribe at any time by replying STOP. Privacy Policy & Terms can be found on our website at thinkbig.insure*

YesNo
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your mailing address the same as your business's physical address?*

YesNo
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this a new venture?*

YesNo
How long have you been in business?*
Prior Insurance Information. Please request your loss runs from your prior agent/carrier. They will be required in order to get you a firm quote!*
Provide information such as: Who were you insured with, effective dates & premium amounts.
What is the nature of your business? Describe in detail what it is you do. What is a typical work day for you. Office work, Transportation, Construction Etc*
Describe in detail what it is you do. What is a typical work day for you. Office work, Transportation, Construction Etc
What are your estimated gross annual sales?
If not applicable put N/A
What is your estimated employee payroll?
If not applicable put N/A
What is your estimated annual subcontractor costs?
If not applicable put N/A
Do you have an office space/building? If yes, what is the square footage.
If not applicable put N/A
If you are a transportation service how many units do you have.
Do you know what kind of limits you would like?*
Do you have employees or subcontractors?

EmployeesSubcontractorsBothNone
Have you had any claims/losses?

YesNo
Describe in detail what happened in the claim/loss, and the date it occurred
How many Employees/Subcontractors do you have? Are they full or part time?
# of Full time/Part time?
Do you need any Mortgagees or Additional Insured's added to your policy?

MortgageeAdditional InsuredBothNone
List Name, Address & Contact info for any Mortgagee/Additional Insureds.
Any additional information we need to know to quote:
How did you hear about us?
I attest that the information I provided is accurate, and understand that the quotes BIG provides to me will be based off this information:

YesNo
Thank you for your submission! We will be in touch shortly.
Preferred Method of Contact*

EmailTextPhone
Should be Empty: