Commercial Property / General Liability Insurance

Commercial Property / General Liability Form
Welcome! Please fill out this form to the best of your ability so we can provide an accurate free insurance quote. Your responses are completely confidential and will only be saved if you choose to become a client of Olive Branch Ventures.
Feel free to upload any existing ACORD forms or other documents you believe may be relevant.

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Business Information
Business Name
Contact Person Name
Contact Number
Please enter a valid phone number.
Email
example@example.com
Entity Type:

LLCCorpSole ProprietorPartnershipOther
Industry:

RetailContractorOfficeRestaurantOther
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years in Business
Number of Employees
Annual Revenue

Under $100K$100K - $500K$500K - $1 MillionOver $1 Million
Property Information
Building Ownership:

OwnedLeasedHome-BasedOther
Building Type

StandaloneMulti-TenantOfficeWarehouseOther
Year Built
Square Footage
Construction Type

FrameBrickMasonryOther
Fire Protection

Smoke DetectorsAlarmSprinklerOther
Security System

YesNoOther
Coverage Options
General Liability Limit:

$ 1 Million - $ 2 Million$ 2 Million - $ 4 MillionCustomNone
Custom General Liability Limit:
Click all the coverages you need.

Property CoverageBusiness Interruption CoverageProfessional liability (E&O)Workers' CompensationCommercial AutoCyber LiabilityOther
Insurance & Claims
Current Carrier and Expiration Date:
Any Claims in the Last 5 Years?
Provide details please.
Additional Space:
Use this space to provide any information you feel is necessary.
Should be Empty:

Commercial Property / General Liability Form

Business Information

Property Information

Coverage Options

Insurance & Claims