Language
English (US)
Spanish (Latin America)
Quoting online with Farmers is fast and easy.
All it takes is 3 steps & 3 mins. here's what to expect.....
Let's start with some basic information
Which best describes your business?
*
Retail (I sell products to people)
Restaurant (I prepare and serve food or drinks)
Service (I provide service to customers)
Contractor (I build, repair, or services things)
Office (I run a business in an office setting)
Landlord (I rent or lease properties to others)
How is your business structured?
*
Please Select
Association
Corporation
Professional Corporation
S-Corporation
Individual/Sole Proprietor
Limited Liability Corporation (LLC)
Limited Liability Partnership (LLP)
Partnership
Registered business name
*
I'd like to add a Doing Business As (DBA) name
*
Yes
No
(DBA) Name
What does your business do?
Business street address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your company's website (optional)
What year was your business established?
What date do you want your policy to start?
-
Month
-
Day
Year
Date
As a small business owner, what questions keeps you up at night? Please rank the following options from most to least relevant.
Do you currently have business insurance?
*
Yes
No
Current policy expiration date
-
Month
-
Day
Year
Date
How much are you currently paying for insurance with your current carrier? (optional)
Back
Next
PROPERTY DETAILS
Does your business own or rent this location?
*
Own
Rent
What type of location is your business based out of?
*
Commercial condominium
Commercial building
Personal residence
Number of units within building
What percentage of the building is vacant or unoccupied?
0%
60%
20%
80%
40%
100%
Tell us about your building
What best describes the buildings construction?
*
I'm not sure
Frame (Made mostly of wood)
Joisted Masonry (Brick or concrete walls with wood framing inside)
Non-Combustible (Constructed of metal or steel)
Masonry Non-Combustible (Brick or concrete walls with a non-combustible roof)
Is the building fully sprinklered?
*
Yes
No
Total building sq feet
Approximately what percentage of your building does your business occupy?
Year Renovated (optional)
Rows
Renovated Year
Roof
Electrical
Plumbing
Heating
How much have you invested in upgrades to your rented space? ($)
Enter your business personal property value ($)
*
How much would it cost to replace the things you use to do business? (Include inventory)
Back
Next
Employee Details
How many owners, LLC members and executive officers do you have?
Do you have any employees working for your business?
*
Yes
No
Not counting owners how many employees do you have?
*
FEIN (A FEIN is required for us to issued your policy online but optional for quote)
Enter the estimated payroll (next 12 months) for ALL of your non-officer employees in the category that most accurately reflects their job duties.
*
Rows
Job Duties
Annual Payroll?
Full Time Employees
Part Time Employees
Job Title/Role #1
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
More than 20
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
More than 20
Job Title/Role #2
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
More than 20
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
More than 20
Job Title/Role #3
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
More than 20
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
More than 20
Job Title/Role #4
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
More than 20
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
More than 20
Back
Next
Contractor
Tools & Equipment Total Value ($)
*
Do you own any tools or equipment valued over $2,000?
*
Yes
No
Please itemize any tools or equipment valued over $2,000
Rows
Item Description (make/model)
Item Value ($)
Item #1
Item #2
Item #3
Item #4
Item #5
What is the average value of materials that you leave at a jobsite at any one time?
Optional coverage questions: (Coverage check: Additional protection options)
Rows
Yes
No
Do you request Certificates of Insurance from Sub Contractors?
Do you use Sub Contractors
Do your employees use their personal vehicle for business related activities?
Do employees utilized their personal tools for business related activities?
Do you rent, lease, or borrow tools & equipment for your jobs?
Do you have specialized computer software or hardware critical to your business?
Do you ever take possession of a customer's property to repair, clean, store, or transport it?
Do your employees handle cash, checks, credit card payments, or financial transactions?
Do you have any contracts that require completed operations wording?
Back
Next
Restaurant
What best describes your restaurant
*
Fast Food without Cooking-Limited or no table service; food is cooked without fryer or open flame
Fast Food with Cooking-Limited or no table service; food is cooked with open flame/Fryer
Full-Service Restaurant-Guests are seated and served by staff
Fine Dining-Upscale service, high-quality meals, and formal atmosphere
Other: Bakeries, Ice-cream, Specialty beverage (Coffee, Tea, Smoothie, etc).
Estimated annual sales or gross revenue ($)
*
Do you offer alcohol?
*
Yes
No
Estimated alcohol sales ($)
Does your business offer catering services, including full-service or drop-off?
*
Yes
No
Estimated catering sales ($)
Does your business provide food delivery?
*
No, we do not offer delivery
Yes, our employees handle deliveries
Yes, we use a third-party delivery service (Grubhub, Uber Eats, DoorDash, Etc)
Are ALL of the cooking equipment maintenance requirements in effect?
*
Yes
No
Back
Next
Almost done! How can we reach you?
Great job! You've provided the necessary information for a preliminary quote. To get a better rate tailored to your business, would you like to spend a few more minutes sharing additional details?
Please Select
Yes - I would like to spend just a little more time to get the best rate possible.
No - I am too excited about getting a quote! Take me to the end!!!
Please indicate which statements are true by checking the box, and provide any additional details in the space provided.
Rows
True
Additional Details
The owners of the business are on site and involved in the daily operations:
The management team has little turnover:
There are regular safety meetings: daily/weekly/monthly
There are formal hiring practices in place including:
There is a formal employee training program in place consisting of:
Employees obtain the following unrequired but beneficial additional certifications or industry education credits:
The average employee tenure is better than average: (how long?)
The average years of industry expereince per employee is:
The following equipment is on a scheduled routine maintenance contract:
Is video surveillance present? How many cameras. How is it monitored?
Would you be willing to submit photos of any safety signs that you have posted in and around your business?
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
We have a full suite of insurance solutions available to our customers and bundling insurance products can often provide additional discounts. Please let me know if you would like to discuss any of the following:
Tax free retirement income
Life insurance solutions for employers and their employees
Home Owner, Condo Unit Owners, or Renters Insurance
Auto insurance (Business and/or Personal)
Pet Insurance
Motorcycles, boats, RVs, Etc
Submit
Should be Empty: