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Commercial Building Insurance

* = Required Information

This is not an instant quote website; our prices are too low to list online. Please fill out the quote form to obtain a Commercial Building insurance quote, and an insurance specialist will contact you shortly. Please understand this is not an application for insurance. An application will be sent to you if coverage is desired.

Proper Protection Fact Finding Questions

Of the following, what is the primary reason for a quote request?	Requesting More Information Loan Required Replace Investment Liability Protection

In the order of importance, what is most important to you?	Price Service Proper Coverage

Approximately when was the last time you did a review with your agent?	Within the year Over 2 years ago Over 5 years ago Never

Would you be interested in going to higher deductibles to reduce your premium?	Yes No

In the event of a lawsuit, accident, or judgment would you want to:	Maximize Protection Assume Some Risk

In the event of an untimely death, is it important to you that you're surviving spouse and/or children maintain the quality of life you currently have together without debt?	Yes No

Would you be interested in combining your commercial insurance for additional savings?	Yes No

If health insurance is provided for employees, would you like to save money?	Yes No Requesting More Information

Has your current company/agent failed to meet your expectations in any way?	Yes No

What else must I do to earn your business?

Contact Information

First Name

Business Name

Gender

Male Female

Date of Birth

Occupation

Business Address

Zip Code

The Best Time to Call?

Best Phone Number to Reach You

Fax

Email Address *

Building Information

Building Replacement Cost

Building Square Footage

Year Built:

Construction Type

Roof Type

Liability Amount

Contents Amount

Location Deductible

What is the primary occupancy type?

Number of Stories

Is there a brush hazard within one mile of the building?	Yes No

If yes, has the brush been cleared by 250 feet from all sides of the building?	Yes No

Automatic Fire Sprinklers	Yes No

Automatic Fire Sprinklers System Type	Fully Sprinklered Partially Sprinklered N/A

Do You Need an Umbrella Policy?

Do you want Blanket Coverage to apply to all locations of building and/or contents?	Yes No

What is the Website address of insured?

How many years of management experience in this industry does the applicant have?

Are there any locations or business interests which are owned by the applicant but not shown on the application?	Yes No

How many Property Additional Interests (Mortgagees/Loss Payees/Additional Insured) are required?

Total Annual Receipts/Sales or loss of rents from the location?

Number of Full-time Employees

What percentage of the building is occupied by the applicant?

What percentage of the building is vacant or unoccupied?

Does the applicant require all tenants to carry property and liability insurance?	Yes No

Is a professional property management company used at this location?	Yes No

Is the original design intended for the type of operations being conducted at this location?	Yes No

Does any tenant conduct manufacturing operations at this location?	Yes No

Is the applicant responsible for the parking lot?	Yes No

Additional Information: