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Business - Retail
Step
1
of
2
50%
Business Name
Address
Square Feet
Approximate number of years insured
Auto coverage desired?
-- Select --
Yes
No
Describe operations
Approximate annual revenue
# Employees
Description and approximate dates of any claims in the last five years
Current Coverage Details
I have a current policy and can upload a declarations page so you can match coverage.
I have a current policy, but cannot upload a declarations page.
I do not currently have a policy.
Policy Upload
Max. file size: 5 MB.
Renewal Date
Building coverage limit (if owned); Tenant improvements coverage limit (if renting); Business property coverage limit; Other coverages and limits; Glass coverage desired? [Y/N]; Deductible.
Approximate current annual premium
Desired coverage preferences
Tenant improvements coverage limit (if renting); Business property coverage limit; Glass coverage desired? [Y/N]; Deductible
Do you own the building?
Yes
No
Is there anything you would like to add?
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Apartment
Business Auto
Auto Service/Repair
Building
Condo Association
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Office
Restaurant
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Wholesale
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Self-Service
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