• Business Owner's Policy (BOP) Questionnaire

    SD Insurance Agency | (619) 800-7515 | Info@sdinsagency.com

  • Business Information

  • Format: (000) 000-0000.
  • Do you own or lease the premises?
  • Do you operate from multiple locations?

  • Business Operations

  • Do you use independent contractors?

  • Property Details

  • Do you own or lease the building?*
  • Have you made tenant improvements?*
  • Security features on premises

  • Liability Information

  • Does your lease require a specific liability limit?*
  • Do you serve food or beverages?
  • Do you sell or serve alcohol?
  • Do you provide any professional services or advice?
  • Do you manufacture or distribute products?
  • Do you have any contracted work performed off-premises?
  • Do you have vehicles registered to the business?
  • Do employees use personal vehicles for business?
  • Do you store customer personal or payment information?
  • Do you have a website or conduct e-commerce?

  • Loss History & Current Coverage

  • Are you currently insured?*
  • Policy Expiration Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Any claims or losses in the past 5 years?*
  • Have you had coverage cancelled or non-renewed in the past 3 years?*

  • Additional Coverages Needed

  • Additional coverages interested in
  • Preferred policy effective date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: