Language
English (US)
Portuguese (Brazil)
Spanish (Latin America)
Commercial Property
Company Name
*
New Business
New Business
Legal Entity Type
*
LLC
Partnership
Corporation
Individual/Sole Proprietorship
Non Profit
Business Start Year
*
EIN
*
Property Address (the address needing coverage)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is there a different Mailing Address?
*
Yes
No
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Owner/Primary Contact Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Describe the business operations. (ex. doctors office, flooring contractor, clothing store, restaurant, church...)
*
Estimated Annual Revenue (total amount received for your services before taxes and expenses)
*
Does the business have employees?
Yes
No
How many?
*
How much do you pay them per year? (total payroll)
*
How much building personal property coverage do you need? In other words, what is the total value of all property inside the building?
*
Have any updates or renovations been made to the original building such as HVAC, plumbing, electrical, roofing, etc? Please specify type of update and year updated.
*
Does the building have any safety/security features to prevent damage such as burglar alarm, security system, monitored fire alarm, indoor sprinkler system, etc?
*
Describe your current coverage status
*
I currently have property insurance
I had coverage but it was cancelled/expired
I have never had property insurance
What is the expiration date of your current policy?
*
How long has it been since you've had coverage?
*
Do you want to add General Liability coverage to the quote too?
*
Yes
No
Please upload any documents that may help us quote (identification, prior coverage, etc.)
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