Business Insurance Quote Online

What is Business InsuranceBusiness Insurance covers bodily injury or property damage losses.

Sample QuoteThis is just a SAMPLE INSURANCE QUOTE based solely on the information provided in a SAMPLE application. This quotation may not offer all of the coverages, terms or endorsements that applicable to your business operations, or to what you requested on your actual application. Please call or email us for an explanation of the terms, coverages and endorsements that the insurer has offered, and how they may differ from what you applied.

Insurance GlossaryCovers liability incurred by a manufacturer, importer, wholesaler, retailer or distributor because of injury or property damage resulting from the use of their product.

Recent Deals We post our recent deals all the time, so you know.

Request Insurance Quote Business Insurance Quote

Business Insurance Quote

Please fill out an application bellow to receive insurance quotes from multiple carriers. Your information will never be shared, leased, sold, or otherwise disclosed to any third party. For more information see Terms of Service | Privacy Policy. Coverage is available for businesses in California and Colorado only.

Business Name/DBA:*

Business Entity:*

Year Business Started*

Business Website:

Physical Address:* (Street Number, Street Name, City, Zip Code)

Mailing Address if different from physical address:

Contact Phone: *

Contact Email:*

Fax:

Contact Person First and Last Name:*

Description of Business Operations:* (describe in most details, to help us to classify your operations)

Contractor License Number, if applicable:

How many years of experience do you have in this field?*

When do you want your insurance to start?*

Projected gross receipts for the NEXT 12 month (before tax and payroll deductions): *

Projected gross payroll for the NEXT 12 month (before tax):*

What percentage of your gross receipts is coming from wholesale operations, from retail operations, and from consulting if any?

Check here if you use any subcontractors:

Coverage/Limits Desired:*

Amount of business personal property you want to cover, if any (contents, inventory, stock):

Property Coverage Deductible:

Building, Year Built: (as a legitimate business you must have a space to conduct your business from. This space can be a building you own, an office you rent, your residence, cart/kiosk in a mall, etc)*

Square Footage Occupied by your business:*

Number of Stories in the Building:*

Construction Type of the buidling you're working from (including your residence if applies):*

Recent Updates Made, if any: (for example Wiring in 2008, Roof in 2007, Plumbing in 2005, Heating in 2000)

Central Station Fire Alarm:*

Yes
No

Central Station Burglar Alam:*

Yes
No

Sprinkler System:*

Yes
No

Check here if any prior insurance cancelled or non renewed:

Check here if any bankruptcies, violations, or crimes in the last 5 years:

Check here if you make any deliveries?

Loss history (last 3 years) describe each claim and provide dates:

Check here if you currently have insurance:

Check here if you need to add an additional insured:

Check here if you want to receive quote for Workers Compensation Insurance:

Notice to Applicants: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects the person to criminal and civil penalties.

	Duties or Classification	# of FT empl.	# of PT empl.	Annual Gross Payroll
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Any prior coverage declined, cancelled, non-renewed in last 3 years?	Yes No
Are you engaged in any other type of business?	Yes No
Do you have any employees under 16 or over 60 years of age	Yes No
Do you have any volunteers	Yes No
What are the hours of operation?
Any work performed underground or above 15 feet?	Yes No
Are physicals required after offers of employment are made?	Yes No
If employees travel out of state, provide details:
Do you provide benefits to all employees eligible?	Yes No
Do you provide health insurance for your employees?	Yes No
Any employees with physical handicaps?	Yes No
If the owners wish to be covered by workers comp. insurance, provide the name of each owner, duties, and payroll
Do you use any subcontractors?	Yes No
Are subcontractors allowed to work without providing you with a certificate of insurance where you're named as an additional insured?	Yes No
How many years of experience owners have in this field?
Do you have a safety coordinator?	Yes No
Describe your formal safety program
How often safety meetings conducted?
Describe the unique safety measures in place, if any:
What types of job training are in place?
Do you maintain your facilities and equipment?	Yes No
How do you address housekeeping, industrial hygiene & ergonomics issues?
If applicable, are all machines equipped with safety guards?	Yes No
Is there an aircraft or watercraft exposure?	Yes No
Is there any athletic sponsorship?	Yes No
Do employees drive their vehicles on the job?	Yes No
Do you check the driving record of your employees?	Yes No

Business Insurance Quotes Online

Business Insurance Quote