Business General Liability Insurance Quote

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Business Description
*** AGRICULTURAL, FORESTRY, & FISHING *** Agricultural Production Crops Agricultural Services Agriculture Production Livestock Fishing, Hunting, & Trapping Forestry *** MINING *** Coal Mining Metal Mining Mining & Quarrying Oil & Gas Extraction *** CONSTRUCTION *** Building Construction General Contractors Heavy Construction Special Trade Contractors *** MANUFACTURING *** Apparel Chemicals Electronic Equipment Fabricated Metal Products Food & Kindred Products Furniture & Fixtures Industrial Equipment Industrial Machinery Leather Lumber Paper Products Petroleum Refining Primary Metal Industries Printing Publishing Rubber Stone, Clay, Glass, Concrete Products Textile Mill Products Tobacco Products *** EQUIPMENT *** Transportation Equipment Measuring, Analyzing *** OPTICAL GOODS *** *** WATCHES & CLOCKS *** *** MISCELLANEOUS MANUFACTURING INDUSTRIES *** *** TRANSPORTATION *** Air Transportation Motor Freight Transportation Passenger Transportartion Railroad Transportation Transportation Services United States Postal Service Water Transportation *** WHOLESALE TRADE *** Wholesale Trade - Durable Goods Wholesale Trade - Non-Durable Goods *** RETAIL TRADE *** Apparel & Accessory Stores Automotive Dealers Building Materials Eating & Drinking Places Food Stores Garden Supply Gasoline Service Stations General Merchandise Stores Hardware Home Furniture & Furnishings Misc. Retail Mobile Home Dealers *** FINANCE, INSURANCE, & REAL ESTATE *** Depository Institutions Non-depository Credit Institutions Holding & Other Investment Offices Real Estate Security & Commodity Brokers Insurance Carriers Insurance Agents, Brokers";--Real Estate;--Holding & Other Investment Offices *** PROFESSIONAL SERVICES *** Accounting Advertising Amusement & Recreation Architecture Art Galleries Automotive Parking Automotive Repair & Services Botanical & Zoological Gardens Business Services Camps & Other Lodging Communications Consulting Dry Cleaners Educational Services Engineering Health & Medical Services Hotels Interior Design Internet IT Legal Management & Related Services Membership Organizations Miscellaneous Repair Services Motion Pictures Museums Personal Services Private Households Research & Development Rooming Houses Social Services Not Listed

Type of Entity
C-Corporation General Partnership (GP) Joint Venture (JV) Limited Liability Corporation (LLC) Limited Liability Partnership (LLP) Limited Partnership (LP) Professional Corporation (PC) S-Corporation Sole Proprietorship Other

Business Began Operations
Month January February March April May June July August September October November December  Year 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1972 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 pre - 1900

Present Insurance Provider
A-1 General Allstate American Family American Int'l (AIG) Autoowners Bristol West Cincinnati Cincinnati Equitable Erie Farmers GMAC GEICO General Casualty Grange Hartford Indianna Leader Liberty Mutual Metlife Motorist Mutual Nationwide Ohio Casualty Progressive Prudential Safeco Safe Auto State Auto State Farm Travelers Westfield Other None

Full Time Employees (Sole Proprietors Enter "1")
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 100+

Gross Annual Revenue
Under $1,000,000 $1,000,000 - $10,000,000 $10,000,000 - $25,000,000 $25,000,000 - $50,000,000 $50,000,000+

Current Premium
$   per  Month Quarter Semi-Annual Year

Length of Coverage
Month(s) Year(s)

Any Claims in Last 5 Years?
No Yes, Under $10,000 Yes, $10,000 - $25,000 Yes, $25,000 - $50,000 Yes, $50,000 - $75,000 Yes, $75,000 - $100,000 Yes, Over $100,000

Continuously Held Without Lapse
Month(s) Year(s)

Expires In
30 Days 60 Days 90 Days 120 Days Not Sure



Property Information

Year Built


Construction Type
Not Sure All Brick Cinder Block Drivet Log More Than 50% Brick Stucco Vinyl Siding Wood Wood Shingles Other

Number of Stories
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125

Square Feet Occupied
Not Sure 500 750 1,000 1,250 1,500 1,750 2,000 2,250 2,500 2,750 3,000 3,250 3,500 3,750 4,000 4,250 4,500 4,750 5,000

Floor Numbers You Occupy
(use CTRL key for multiple choices)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125


Does Your Suite Have Sprinklers? Yes No

Is There a Day Care Facility? Yes No

Is There a Swimming Pool? Yes No

Is There a Fitness Center? Yes No

Are you within 1,000 Feet of a Fire Hydrant? Yes No

Do You Use Outside Cleaning Services? Yes No

Do You Work Weekends? Yes No

Parking
Street Parking Lot Secure Garage Carport Other

Is There Building Security?
Signals Monitoring Alarm Co. On Premise Security Guard(s) Guard Booth (Front Gate/Lobby) Cameras/Close Cirquit All of the Above No

Hours of Operation
From  12:00 AM 1:00 AM 2:00 AM 3:00 AM 4:00 AM 5:00 AM 6:00 AM 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 6:00 PM 7:00 PM 8:00 PM 9:00 PM 10:00 PM 11:00 PM   To  12:00 AM 1:00 AM 2:00 AM 3:00 AM 4:00 AM 5:00 AM 6:00 AM 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 6:00 PM 7:00 PM 8:00 PM 9:00 PM 10:00 PM 11:00 PM

Liability Amount Needed
$100,000 $300,000 $500,000 $1,000,000 $2,000,000 Other

Desired Deductible
$100 $250 $500 $1,000 $2,500 $5,000

Additional Coverages/Riders

Sexual Harassment	Errors & Omissions	Commercial Auto
Director & Officers	Fidelity/Surety Bonds	Workers Comp
Business Interuption	General Liability	Intellectual Property

Questions/Comments