Business Owners Policy Back To BUSINESS INSURANCE What is your business name:* Please provide information about your business Small business quotations include property and liability coverage in one comprehensive package. Contact Name:* Email Address:* Phone:* Please describe your business:* What is your business address:* How many years have you been in business:* What type of entity is the business:* Sole proprietorshipPartnershipCorporationNot-for-profit organizationOther Click here if you answered "Other" to the above question: If other, please describe What is your expected revenue (sales) for the next 12 months:* $ How many employees do you have:* Please provide information about the property portion of the package Do you own the building you are located in:* YesNo Click here if you own the building: Please provide information about the building you own Who is your current insurance carrier What is the amount of building coverage on your current policy Buildings will be quoted on a replacement cost basis. Is there a mortgage on the building YesNo Click here if you answered "Yes" to the above question: Name and address of mortgage company Otherwise, click here: Please provide information about the building you occupy Have you made improvements to the building Improvements can be adding permanently attached shelving, flooring, etc. YesNo Click here if you answered "yes" to the above question: What is the value of the improvements $ Please provide general information about the building What year was the building built:* Describe any updates to roof, heating, and electrical systems:* What is the construction of the building:* Frame (siding, wood)Brick (wood beams)MasonryConcreteSteelOther Click here if you answered "yes" to the above question: If other, please describe How far away is the building from a fire hydrant:* What is the square foot area of the building:* sq ft Indicate the square foot area of the space you occupy Do you have a sign:* YesNo Click here if you answered "yes" to the above question: Is it attached to the building YesNo What is the value of the sign $ Does the building have glass plates YesNo Click here if you answered "yes" to the above question: Please provide the dimensions of the glass by plate YesNo Please provide information about the contents or inventory What is the value of your contents (including inventory):* $ Does your inventory value fluctuate more than 25% for a certain season:* YesNo Do you have possession of property of others as a general course of business:* YesNo Click here if you answered "yes" to the above question: If so, please describe Please provide information about the liability portion of the package quote CANADIAN businesses, what liability limit would you like us to quote $1,000,000$2,000,000$5,000,000 Non-Canadian businesses, what liability limit would you like us to quote $1,000,000$500,000$300,000$100,000 Would you like employee benefits liability included in the quote:* YesNo Do you own any vehicles:* YesNo Please describe any claims you have had in the past five years:* Do you currently have insurance for your business:* YesNo Click here if you answered "yes" to the above question: Name of insurance company Policy number Date coverage expires Reason for requesting a quote How did you hear about us:* I am a current customerA friendInternet search engineNewspaperOtherEmployee Comments or additional information Did You Know: Fences are not included in most property policies without being separately scheduled. Thanks for providing this information. If we need to contact you for additional information, we will send you a message through the secure Message Center found in File Cabinet. You can view a copy of this request, and a copy of your ID card, by clicking on File Cabinet. You will receive an email confirming this request made By clicking the Submit Button you are agreeing to the Terms Conditions of doing business with our agency via the Internet. Click here to view the Terms & Conditions.