BUSINESS OWNERS PROGRAM

Property Quote Request

CITY
STATE
ZIP
DAYTIME
EVENING
Please answer these questions based on your primary location and building. If you have additional locations or buildings, please submit another copy of this section and answer the questions for your other property. Home based businesses should complete the following questions based on the business portion of the home.
Current year (estimated) $
Previous year $
PLEASE INDICATE WHETHER THE FOLLOWING OPTIONAL COVERAGES ARE DESIRED:
Many property coverage forms provide for coverage similar to the limits below. If you require higher limits than listed please list below.

Separate Limits for Each Coverage (unless you choose a blanket limit):

Fire Dept. Service Charge/ Fire Extinguisher Recharge  $2,500

Forgery and Alteration                                                     $2,500

Glass                                                                                  $2,500

Customers’ Goods on Premises                                      $10,000

Personal Property Off Premises                                     $5,000               

Valuable Papers/Records on premises                         $10,000

Employees Dishonesty - ERISA                                      $2,500

Money Orders and Counterfeit Currency                       $2,500

Increaded Construction Cost (after a loss)                  $5,000

Signs                                                                               $2,500

Back-up of Sewer/Drains                                              $2,500

Property In Transit                                                        $5,000

Accounts Receivable at the Premises                        $10,000

  

 

 

Complete the following questions only if interested in purchasing insurance for the building. Home based businesses do not need to complete these questions.
Electrical
Roofing
Plumbing
Heating

Thank you for requesting a quote. We will get back to you with your free, no obligation quote as soon as possible.

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