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Business Insurance

QuoteAssociate.com will take your information and match your policy needs with one reputable insurance agency in your community. Please fill out the application below completely and an insurance agent will contact you within 24 business hours with a fast free and accurate insurance quote. QuoteAssociate.com is not an insurance agency, broker, wholesaler, or underwriter nor do we sell your personal information to any third party.

° Contact Info
First Name:  
Last Name:  
E-Mail:   
DOB: / /
Gender:
° Address Info
Street Address:  
City:  
State:  
Zip Code:   
Home Phone Nbr:  
When is the best time to reach you?:
Work Phone Nbr:
Marital Status:
What is your credit like?:
Social Security Number (Optional)**:
° About Your Business
1. What type of Business do you have?:



2. Do you currently have Business Owners Insurance?:
3. Who is current insurance agency?:
4. What is your current premium?:
5. Business Field/Type:
6. Description of Business Operations:
7. Year Business Established:
8. Do you own or lease office space?:
9. Building Coverage Limits?:
10. Building Contents Limits?:
11. Number of Locations:
12. Approximate Annual Gross Revenue:
13. Approximate Total Company Payroll:
14. Approximate Amount of Desired Insurance:
15. Approximate Square Footage of Occupancy:
16. Approximate Square Footage of Entire Building:
17. Has the company had claims in the last 3 years?:
° Optional Coverage Information
1. Optional (check all that apply):







2. Comments:
 

What is Business Insurance?

Business insurance; partnership insurance; corporation insurance

Insurance concerned primarily with the coverage of an insured's business or vocation. Business insurance protects a business against the loss of its "valuable lives" or key people, stabilizes the business through the establishment of better credit relations, and can provide a practical plan for the retirement of business interests in the event of the death of one of the owners

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