General Liability Back To BUSINESS INSURANCE Please provide the following information to obtain a quote Please remember, that no coverage should ever be considered bound until you have received confirmation from our office. Please describe your business:* Address:* City:* State:* Zip code:* How many years have you been in business:* What type of entity is this company:* Sole proprietorshipPartnershipCorporationNot-for-profit organizationOther Click here if you answered "Other" to the above question: If other, please describe Are you a contractor:* YesNo Click here if you answered "Yes" to the above question: Please provide information about your contracting business Do you use sub-contractors YesNo Click here if you answered "yes" to the above question: Do you require certificates of insurance from all sub-contractors N/A What is the percentage of work that you sub-contract Will you need a blanket additional insured endorsement YesNo Is this liability coverage for a building that you own and rent to others:* YesNo Click here if you answered "Yes" to the above question: Please provide information about the building that you rent out How many units are in the building What is the square foot area of the building Is the building commercial or residential CommercialResidential Click here if you answered "commercial" to the above question: List tenants occupying the building What percent of the building is occupied Please provide information about the rating basis of the general liability If you are a contractor, click here: What is the total estimated cost of sub-contracted labor List the different types of work your employees do and the payroll associated with each Sales and clerical employees do not need to be included in this listing Please provide information about the coverage you would like quoted What liability limits would you like us to quote:* $1,000,000$500,000$250,000$100,000Other Click here if you answered "Other" to the above question: If other, please describe $ Would you like employment practices liability included in the quote:* YesNo Do you currently have general liability insurance:* 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 Please provide contact information Contact name:* Email address:* Phone number:* Type of phone number:* Business/workHomeMobile What is the best time to contact you:* How did you hear about us:* I am a current customerA friendInternet search engineNewspaperOtherEmployee Comments or additional information Did You Know Since payrolls and revenues are estimated, most general liability policies are audited at the end of the year to obtain the exact figures. Would you like someone to contact you about this:* YesNo 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.