You
will be insured by strong stable “A” rated companies.
The
financial condition of all companies are sound, Our Companies are well
capitalized and are highly rated by the independent rating agencies such as
Standard & Poor’s and A.M. Best.
These rating agencies evaluate companies to establish their financial strength
and the ability to pay claims.
General Liability
Workers
Comp
E&O, D&O
Computer Consultants
Lending Institutions
Stock Brokers
General Contractors
all types
Business Auto for all risks
You want a quote send
us your information
How did you find out about us?
Required Fields:
Name
Home Phone:
Address
Work Phone:
City
Zip
Pager #
E-Mail
Type of Business:
Contractor Lic #
% Residential
  Gross Receipts:
  Payroll
Building:
Age:
 
Construction:
Sq. Ft.
Stories
Years of Prior Ins:
Current Carrier:
Policy #:
Yrs. Insured:
Type of Business to Left:
Type of Business to Right:
Type of Business in Back:
Type of Business in Front:
Comments:
How many years of experience?
How Many Years in Business?
How many full-time employees?
How many part-time employees?
Percentage of Work Interior
Percentage of Work Exterior
Any Work Subcontracted out?
Yes
No
% Work Subcontracted Out:
Does the building have the following: (Check all that apply)
Smoke Detectors
Alarm
Fire Extinguishers
Restaurants Only Please complete the information below
Building Age:
Ownership:
Sq. Ft. Total:
Sq. Ft. Dining:
Seating Capacity:
Delivery:
Catering:
Sell Alcohol?
Full Bar:
Total Gross Receipts:
Gross
Receipts Alcohol:
Need Glass Coverage:
Building Sprinklers:
Alarm?
Dancing
Security Door Man
How Often Cooking Flutes Cleaned:
How Often Cooking Flutes Cleaned:
Any claims in last 5 years?
How Much Paid
Any sponsoring?
Any Pinball machines?
Business has how many stories is Building?
Maximum # personnel on site:
Years at this location:
Current Ins. Carrier:
Policy #:
Current Premium:
$
How many years experience:
Policy Limit:
Business Property: