Commercial Insurance Quote

214-351-4097 Insurance Plus Of Texas

Home

Malpractice Insurance

Contractors Insurance Commercial Insurance Privacy

Commercial Insurance Quote

One Simple Form - takes only 2-3 Minutes!  

Need Help?   give us a call

 

   
                                                                *  Required Field

General Information

  Contact Name

*

If you are in the Construction Trades

use this form ---> Contractor Quotes

 

Contractors DO NOT use this form page

as we may not be able to process your

quote request.

  Email

*

  Business Name

*

  Street Address (Not PO Box)

*

  City  

*

  State

*

  County *

  Zip

*

  Business Phone

*

  Fax

Current Insurance Company

  Company Name
  Policy Expiration Date

Current Insurance Coverage

  Current Coverage

Bond

Commercial Auto

Commercial Liability

Commercial Property

Commercial Umbrella

Directors & Officers Liability

Disability

Group Health

Group Life

Professional Liability

Workers' Compensation

Other 

Business Information

  # of Full-Time Employees            *
  # of Part-Time Employees           *
  How long in Business? (yrs) *
  How many locations?  

  Please give a brief description of

  your  business and Clientele

*

Only fill this portion if you need property coverage. If No property coverage is required skip to next Section

Property/Premises Information

Address      to be insured

  Occupancy Status

Owner  Tenant

  Year Built

  % Occupied

  Sprinklers

Yes  No

  Construction Type

  Stories

  Sq. Footage

  Burglar Alarm

Yes  No

  Building Value

  Contents

  Other Property (specify)

Limits Requested

Annual Gross Sales: (before taxes)   

*

Annualized Payroll 

*

Percent of work Subcontracted

*

Liability Limits Requested

*$100,000 $300,000$500,000 $1,000,000 $2,000,000

Describe any claims you've had in the past 5 years

Additional Comments, information. You

may also ask questions in this box.

 
Disclaimer Notice - The premiums quoted are estimates based on information you provided. If you have question or other pertinent information you feel is necessary to properly quote your Insurance, Please feel free to call our office for a personalized free quote.

Free Online Quotes from Insurance Plus