Commercial Insurance Quote

 214-351-4097 Insurance Plus Of Texas

Home

 Auto Insurance Contractors Insurance Commercial Insurance Privacy

Commercial Insurance Quote
 One Simple Form - takes only 2-3 Minutes!                        Need Help?   Phone 214-351-4097

     Insured Information                                                                                                 

 
                                                                *  Required Field

General Information

  Contact Name

 *

  Email

 *

  Business Name

 *

  Street Address (Not PO Box)

 *

  City  

 *

  State

 *

  Zip

 *

  County

 *

  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
  Occupancy Status Owner  Tenant
  Year Built
  % Occupied
  Sprinklers Yes  No
  Construction Type
  Stories
  # Basements
  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 *
  Limits Requested

 

*

 $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