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Business Structure* CHOOSE ONE Individual - Sole Proprietor Husband and Wife General Partnership Corporation C-Corp S-Corp Non-Profit Corp Non-Profit Other Trust LLC - Limited Liability Company LP - Limited Partnership LLP - Limited Liability Partnership
Business Location CHOOSE ONE Home-based business working only from home I rent, lead, or own an office or other location away from my home Home-based business but I travel to different locations to work I work only at flea markets, festivals, and similar events I own an office condo I teach at various locations
We ask this questions because different insurance carriers have different rules regarding the location of your business. It helps us find the right type of policy.
Do you have current insurance that is in force (or active) for your business?* No Yes
Information to Get Your Quote Type of Business #1* CHOOSE ONE 1031 Exchange Services Abstracting and Indexing Service Abused Adult Shelters (Battered Women) Accounting Service Accreditation services Actuarial services Acupuncturist Adjuster - Independent Claims Adjuster Adjustment Bureaus Administrative Support Service Administrators Adoption services Advertiser Advertising Agency Affordable Housing After School Tutoring Agricultural Consultants Airport Shuttle Alarm Monitoring Services Alcohol/Drug Counseling Alcoholics Anonymous Alcoholics Anonymous Meetings Allied Healthcare Ambulance Services Analytical Labs Animal Groomer – dogs, cats, birds Animal Groomer – including horses Animal Breeder Animal Control (including nuisance wildlife) Animal Shelter Animal Shelters / Rescue Groups Animal Therapist – that treats animals Animal Therapist – used to treat humans Animal Trainer Animal Trapper Answering Service Antique Appraiser Antique Dealers and; Restorers Antique Gallery / Studio Antique Gallery Sales Only no Studio Anxiety Counseling Apartment Complex Appliance Repair or Installation Appraisal Service – Property (real estate) Appraisers - Business Appraisers - Jewelry Arbitrators and Mediators Arborist - no tree trimming Arborist - with tree trimming Archaeologist - with digging Archaeologist - without digging Architects Arson Inspector / Investigator Art Conservator Art Gallery WITH framing Art Gallery WITH OUT framing Artists Supplies Store Arts and Crafts Maker Asbestos Consultant Asbestos Inspector Asbestos Manager /Planner Assets Manager (RTC) Assisted living (Non Medical) Management Association Management Service Associations for Retarded Citizens (ARCs) At Risk Youth Counseling ATHLETICS Auctioneers – away from home Audiologist Audit Service (Non-Financial) Authors (All Others) Authors (Controversial) Authors (Technical) Automobile Dealers Background Checking/Screening Service Baked goods distributor Baked goods distributor - Pet Food Bakeries – WITHOUT cooking - Pet Food Bakeries Retail – with cooking Bakeries Retail – without cooking Bakeries Wholesale – WITHOUT cooking Balloon Art - Not Entertainer Balloon Artist or Twister (performer) Bar (includes wine bar) Barber - Individual Barber Shop Barber Supplies Bartending School Baseball Coach Battered Victims Shelters BBQ Cleaning or Repair Beauticians - Individual or Independent Contractor Beauty School or Barber School Insurance Beauty Shops Beauty Supplies Bee Keeper Insurance Behavioral Treatment Benefit Plan Administrator Benefit Plan Consulting Big Brother / Big Sister Organizations Billiards Hall Billing Service Billing Services-Non Medical Biotech Lab with Clinical Trials Biotech Research and Development Lab Bird Trainer Bird Trainer (includes cats and dogs) Blind/Visually Impaired Services Blood Bank Blood Mobile Blow Dry Bar Body Piercer Book Mobile Book or Magazine Distributor Book or Magazine Publisher Bookbinding Bookkeeping Service Booster Club or PTA Botanical Gardens Bowling Alley Boys & Girls Clubs Boys & Girls Clubs Boys Homes Brand Ambassador (with product demonstration) Brand Ambassador (without product demonstration) Bumper Cars Business & Citizenship Programs Business Brokers Business Managers Business Outsourcing Services Cafe Cafeteria Call Center Services Calligraphy Camera/Photography Sales or Repair Campground Camps Candle Sales, excluding making of candles Candle Sales, including making of candles Candy / Nut Confections Store Canine Beautician (includes cats, birds) Car Dealership Car Detailer - mobile Car Show - Antique Auto Show Car Title and/or Tag Services Car Wash – not self service Car Wash – self service Car Wholesaler Career & Vocational Counseling Career Counseling Caregivers (Non Medical) Carriage Rides Carwash – at a fixed location Carwash - Mobile Cat Groomer – dogs and bird OK too Caterer (that DOES NOT serve food from the truck) Caterer (that serves food from the truck ) Cell Phone/Pager Sales Cemetery Operations Ceramics Manufacturer Ceramics Store Certification Services Charitable Organizations Fundraising Organizations Charter Bus Charter School Insurance Chicken Catcher Child & Family Services Child Abuse Information & Treatment Child Care Childcare Center/ Daycare Chiropractors CHOOSE ONE Christmas Tree Lot Insurance Christmas Light Hanger or Installer Church or Synagogue or other House of Worship Claim Administration Claims Adjuster - WC, Medical Claims Adjuster-P/C only Clinical Testing /Trials Clock or Watch Repair Closet and Space Designer (not an Architect) Closing Services (Real Estate) Clowns, Magicians, Balloon Arists Coaching Service - Life Coach Coaching Service - Sports or Athletics Collection Agencies College Coach or Consultant Color Counsutant Communication Consultant (All Other) Communication Consultant (Crisis Mgmnt) Communication Consultants (Wireless) Community & Business Advocacy Community Action Centers (CACs) Community Centers Community Coalitions Community Improvement Compliance Consultant Computer Billing Services Computer Fraud Investigators Computer Repair Computer Sales Computer Service Bureau CONDO ASSOCIATION Confectionner or Candy Maker Congregate Meals Conservation Groups Consignment Store Construction Managers Consultant (Average) Consultant (Critical) Consultant (Hazardous) Consultant (Non-Critical) Contest Managers Contractor - Carpenter Contractor - Electric Contractor - Painter Contractor – Plumbing Convention/Trade Show Coroner Cosmetic Sales (Avon, Mary Kay, etc...) Cosmetics Manufacturing Cosmetologist Cosmetology School Insurance Cost Containment Consultant Counseling & Referral Counseling &; Treatment Centers (Post Detox) Counseling for Eating Disorders Counseling Programs Counselor County Clerks Courier Court Reporter Crafts – Excluding Candles Crafts – Including Candles Crane Inspector Credit Bureaus - Credit Reporting Credit Bureaus - data collection Credit Card Services Credit Debt Counseling Credit Investigation Credit or Debt Counselor Crematory Operations Crisis Centers Crisis Intervention (Non Suicide) Custodial Agent Custom Brokers Cyber Liability Dairy Farmer Damage Appraiser Dance Instructor Data Processors Database Management Dating Services Day Care Center / Childcare Daycare - Adult Deaf/Hearing Impaired Services Debt Collection Service Debt Counselor or Credit Counselor Dental Labs Dental Schools Dentist Office Design and Build Firms Desktop Publishing Destruction /Shredding Service Dialysis Centers Diet Centers Dietician Direct Mail Services Disability Services Disc Jockey Dispatch Services (EMS) Dispatch Services (Except EMS) Dispensary Divorce Counseling Document/Office Records Destruction Dog Groomer (or cats, birds) – at fixed location only Dog Groomer (or cats, birds) – mobile only Dog Groomer(or cats, birds) – mobile and at store or fixed location Dog Obedience School Dog Track Dog Trainer – including guard dogs Dog Trainer – NOT including guard dogs Dog Walker Doggie Day Care Draftsmen Driving Instructors /Trainers Drone Manufacturer (or Designer) Drug /Alcohol Rehabilitation Drug Abuse & Addiction Information Drug Counselor / CDAC Drug Testing Consultants Dry Food Products/Mixes Vendor Duck Call Manufacturer Ear Piercing (Beauty) Earthquake Preparedness Trainer E-Cigarette distributor or wholesaler (ecig) ECigarette Store (ecig or vaping store) Eco Consultant / Green Consultant Editing Services Editorial Service/Proofreaders EDP Operations Education Consultant Education Counselors Electronic Data Counselors Elevator Inspectors Embroidery Emergency Medical Technicians Emergency Shelters Employed Lawyers Employee Benefits Counsulting Employee Leasing Employee Training Services Employment Agencies/Staffing - Clerical and; Labor Employment Agencies/Staffing - Prof./Mgmt Employment Agency Energy Consultant Engraving Ergonomics Consultant Escape Room (for fun or amusement) Escrow Agents Ethnic/Immigrant Services Event Planners Executive Recruiting Expediting Service Expert Witness Expert Witness Consultant Facilities Manager Family Counseling Family Fun Center Farm Animal Testing Farm Managers Farming Consultant Fashion or Wardrobe Consultant Fashion Truck Financial Administrator Financial Institutions Financial Planning Fingerprint ID Services First Aid Treatment Trainer Fish Farming Consultant Fitness Consultant Flea Market or Swap Meet – Indoor Flea Market or Swap Meet – Indoor and Outdoor Flea Market or Swap Meet – Outdoor Flood Research Floral Consultant Florist Fly Board / FlyBoard - on the water activity Food Banks Food Broker Food Cart Food Delivery Network (like grub hub) Food Distribution Food Pantries Food Supplements/Vitamins Food Taxi (delivery but not a caterer/food truck) Food Truck Foreclosure Agents Foreclosure CleanUp or TrashOut Forensic Analysts Forensic Investigators/Analysts Foresters Fountain Consultant Framing Store Franchisers Fraternal Organization Freight Forwarders Fulfillment Services Fund Raising Services Funding Organizations Funeral Directors Furniture Refinisher Gambling Services Games Promoters Games Puzzles Vendor Gay / Lesbian Services GED School Insurance Genealogists General Family Services Geological Consultant Geologists Geotechnical Engineers Gift Delivery Service (balloons, gift baskets, etc...) Gift Shop Glassware Golf Cart Dealer Golf Course Designers /Management Goodwill Stores Government Assistance Services Grant Making Organizations Grant Writing Service Grants Coordinator Graphic Artist/Designer Graphic Designers Grief Counseling Grocery Store - with restaurant Grocery Store - without restaurant Group Homes Group Residential Guide Dog Training Gym / Fitness Center Halfway Homes Halfway Housing Handicrafts - excluding candles Handicrafts - including candles Handwriting Analysis Haunted House Insurance Hazardous Waste Consultant Head Start Program Health & Allied Schools Health Clinics /Outpatient Healthcare Clinics Hearing Aid Sales Hearing Impairment Clinics Hedge Funds Historical Societies Hobby and Model Supplies Hog Trapping Holiday Light Hanger or Installer Home Health Care Home Inspection Services Home Stager Homeless Shelters Honey Products Manufacturer Hood or Duct or Kitchen Exhaust Cleaner or Pressure Washer Horse Groomer Horse Trainer Horse Trainer and Groomer Horticultural Societies Hospices Hospitals /Clinics Hostage Negotiations Hotel Courtesy Shuttle Hotel Manager Household Products – (Amway, Fuller Brush, etc...) Housing Authorities Housing for Retired Clergy Housing Support – Senior Citizens Human Resource Consultant Human Service Organizations Humane Society Hydrologists Ice Cream Manufacturer Ice Cream Store Ice Cream Truck Ice House Ice Sculpter Ice Skating Rink In Home Care Information Search Retrieval Information Storage/Retrieval (Non-digital) Inline Skating Rink Inspection Services Insurance Agent or Broker Insurance Agents Insurance Consultant Insurance Inspector - Homeowners Insurance Inspector - Other Insurance Risk Manager Interior Decorating Interior Design/Space Interior Window Treatments Interpreter - Spoken Inventory Control Specialist Investigators Investment Consultants Investment Trust Counselors Irrigation Consultants Janitorial - Commercial Janitorial - Residential Janitorial - Residential and Commercial Jewelry (Costume) Job Counselor Job Placement Services Karaoke Jockey Kennel (includes doggie day care) Kiosk Kitchen Designer or Planner Kitchen Hood or Duct Cleaner Kitchen Supplies Sales (Tupperware, etc...) Ladies/Girls Clothing, Accessories Land Surveyors LANDLORD (lessors' risk) Landscape Architects Laser Hair Removal Lash Extension Law Enforcement Lawyers Lead Generation Learning Disorder Services Lease Brokers Leather Goods Letter Writing Library Life Sciences Light Hanger Insurance - Annual Light Hanger Insurance – Seasonal or Holiday Lighting Design Counsultant Limousine Lingerie Store Literary Agents Loan Broker Loan Modification Services Loan Origination Service Lobbyist Locksmith Lodge Insurance Logistics Providers Loss Adjuster and Assessor Loss Control Consultant Low Income Housing LSV Dealer (includes golf carts) LSV Shuttle or Taxi Luge Instructor Luge Track Luggage Store Magazine Publisher Mailing Services Mailing Services Mall Kiosk Management Consultant Manicurist or Pedicurist (Beauty) Manufactured Home Dealer Manufactured Home Lot (Mobile Home Lot) Manufacturer - OTHER producers not listed Manufacturer - Automotive or Motorcycle Parts Manufacturer - Baked Goods Manufacturer - Beauty of Cosmetic Products Manufacturer - Clothing and Apparel Manufacturer - Computers Manufacturer - Electronics Manufacturer - Frozen Goods Manufacturer - Furniture Manufacturer - Housewares Manufacturer - Ice Manufacturer - Metal or Aluminum Products Manufacturer - Paper Products Manufacturer - Plastic Products Manufacturer - Rubber Products Marina Marine Surveyors Market Research Marketing Consultant Marriage & Family Counseling Martial Arts School or Studio Mary Kay Massage Therapist Mediator Medical Billing Medical Claims Processing / Transcriptionist Medical Clinic Medical Cost Containment Consulting Medical Diagnostic Equipment Medical Labs Medical Malpractice Medical Marijuana Dispensary, Grower, or Caregiver Medical Office Medical Staffing Meeting Planner Meeting Planners Membership Club Men’s/Boy’s Clothing Accessories Mental Health Clinics Mental Health Counselor Mental Health Services Mental Retardation Facilities Messenger Metal Detecting Business Meteorologists Methadone Clinic Microblading Microfilm Recording Ministry / Clergy Mobil Diagnostic Labs Mobile Beauty Parlor (operating from a truck) Mobile Beauty Professional (not in a truck) Mobile Boutique Mobile Food Cart Mobile Food Vendor Mobile Hair Salon or Nail Salon (operating from a truck) Mobile Home Park Mobile Video Game Vehicle Models Monogramming Moose Lodge Mortgage Bankers Mortgage Broker / Banker Mortgage Closing Services Mortgage Field Inspection Mortgage Field Inspector Mortgage Impairment Morticians MRDD Rehabilitation Services Multiple Listing Agents Museum Music Therapist Musical Instrument Sales/Repair Mutual Funds Management Nail Technician Nanny Placement Services Neighborhood Multi Service Centers Newspaper/Magazine/Book Delivery Non-Profit - Other Notary Public Notary Signing Agency - sends out independent contractors Nurse - home health care only Nurse - hospitals or other facilities Nurses Registry Nursing Homes- Clinics Nursing Homes Visiting Nursing School Insurance Nutrition Programs Nutritionist Occupational Safety Office Administration Office Supplies Vendor Oktoberfest Online Store or Retailer Optometrist Organic Farmer Orphanages OTHER OTHER OTHER Outpatient Surgical Centers Outreach Programs Paging Services Paint Ball Paper Goods Manufacturer Paralegal Paramedics Parenting Education Party Bus Party Planners Pastoral Counseling Patent Agents- Attorneys Pathology Lab Pawn Broker / Shop Pay Telephone Provider Payroll Services Pedal Crawler – Pedal Pub – Bike Tour Pension Advisors Permanent Makeup (Beauty) – no other tattooing Personal Care Products Personal Fitness Trainer Personal Image Consultant Personal Trainer Personalized Books and; Gifts Personnel Agency Pest Control Pet Groomer Pet Sitter - in other people’s homes Pet Trainer – including guard dogs Pet Trainer – NOT including guard dogs Pet Trainer – other than dogs, cats, and birds Petting Zoo Pharmaceutical Consultant Pharmacist Malpractice Pharmacy Insurance Phlebotomist Photo and; Duplicating Services Photo Studios and; Duplicating Services Photographer Physical Therapy Clinics Picture Framing Planner - Non-structural Plasma Center Pole Dance Instructor Pole Dance School Polygraph Analysts Pony Ride Pool Cleaning and / or installing Pool Hall Pool Monitor (swimming pool) Porta Potty Business Postal Store or Mail Store Preferred Providers Org Pregnancy Help Centers Premium Finance Company Prepaid Calling Card Vendor Pressure Washing or Pressure Washer Print Broker Printer Prison Families Support Services Private Foundations Private Investigator Process Server Product Demonstrator Insurance Professional Employee Organization - PEO Professional Organizer Professional Societies, Associations Professional Speakers Project and; Contract Management Prom - Dance Event Property Management Property Preservationist Psychologist Services Psychologists Public Officials Public Relations Consultant Publisher Pumpkin Patch insurance Quickbooks Consultant Radiation Safety Consultant Radiation Therapy Rage Room Rape Counseling Services Reading Programs Real Estate Agent or Broker - Commercial Real Estate Agent or Broker- Residential Real Estate Agent or Broker- Residential and Commercial Real Estate Appraiser - Commercial Real Estate Appraiser - Residential Real Estate Appraiser - Residential and Commercial Real Estate Construction Management Real Estate Developer Real Time Captioners Recovery Services (Non-digital) Referral Agencies Referral Club Refugees & Settlement Services Registered Agent Rehabilitation Centers (Drug & Alcohol) Rehabilitation Centers (Physical) REIT’s Manager /Administrator Religious Goods Religious Outreach Relocation Agent Rescue Missions Rescue Missions Research Consultant Research Organization Reservation Services Respiratory Therapists Restaurant - Fast Food Restaurant - no tables (such as served from a window) Restaurant - with table service Restaurant - without table service (Waiters and waitresses) Resume Service – writing or consulting Retail Toy Sales Ride Share DRIVER Ride Sharing Company Risk Management Services RTC Asset Manager Rubber Stamp Business Safe Deposit Box Verifier Safety Consultants Sauce or Spice Manufacturer Scentscy Salesperson School Board Liability School Social Work Scrapbooking Second Hand or Thrift Stores Secretarial Service Security advisor (digital, web, technology professional) Security Brokers Security Guards (Armed) Security Guards (Unarmed) Security Services (non-digital) Security System Consultants Seedman’s E&O Self-Help for Addicts Seminar Conductors Senior Activities Centers (Non Medical) Senior Centers Senior Independent Living SEO Consultant Service Leagues Settlement Housing Sexual Therapist Sheep Shearer Shipping Agents Shoe Manufacturer Shoe Repair (includes luggage) Shoe Shine Valet Shoe Store (retail) Shoe Wholesaler or Distributor Sign design consultant only, no installation Sign Painting Single Parent Agencies / Services Skeleton Sled Instructor Sleep Disorder Counseling Sleep Center - clients sleep at the center Sleep Center - research only, no clients sleeping at the center Smoker’s Information & Treatment Snowplowing and Snow Removal Sober Living Home Social Introduction Services Social Media Marketing (includes SEO) Social Security Disability Representative Social Service Organizations Social Services Agency Soil Testing Soup Kitchens Speakers/Lectors Bureau Speech Therapist Speech Therapists Spice Manufacturer Spiritual Counseling Sports Agent Sprinkler Installer and Mainentance Staffing Agency Stationary Statistical Consultant Stenciling Stress Management Services Structured Settlement Brokers Student Health Student Loan Servicing Subscription Fulfillment Subsidized Housing Substance Abuse Recovery (Post Detox) Support Groups Swim School (with a fixed location) Swim School (mobile) Swim Instructor (individual) Swim Instructor (multiple instructors) Supportive Housing Tabulating Service Tailoring, Alterations, Seamstresses Talent Agency Tanning (mobile and on-site) (Beauty) Tattoo Artist (no piercing) Tattoo Artist (with piercing too) Tax Preparer or Book Keeper Taxidermist Teachers/Tutors except sports Teeth Whitening (Beauty) Telecommunications Consultant Teleconferencing Services Telemarketing, Telephone Solicitation Telephone Answering Service Temporary Help Agency Temporary Housing Temporary Relief Services Tenant Screening Services Testing (Non-Destructive) Testing Labs (Aids) Testing Labs (Medical) Testing Labs (Non-Medical) Thermographer - medical Thermographer - non-medical Third Party Admins excl. Benefits Admins. Threading eyebrows Thrift Store Thrift Stores Ticket Brokers/Agencies Ticket Brokers/Agencies Title Abstractor/Searcher Title Company Title Insurance Agents Toner Cartridge Recharging Tour Bus Only Tour Operator – other than a walking tour Tour Operator - Walking Tour Only Tour Operator – Walking Tour Only Tour Operator - without a tour bus Tractor Pull - special event Trade Associations or Guild Trade Show – Special Event Trade Show Organizer Traffic Consultant or Parking Consultant Training Services – describe in box below Training Specialist/Seminar Conductor Trampoline Park Transcribing, Court Reporters Transfer Agents Transitional Housing Translator Translator or Interpreter - Written or Oral Travel Agents Trophy Sales Trucking Trust Department E&O Trustees - Asset Dissolution and Distribution Trustees- Not Asset Dissolution Tutor – In Home Tutor – Piano Tutor – Sports Only Tutoring center TV/VCR Repair Uber Driver / UberX Driver / Lyft Driver Umpire/Referee Underground Utility Locators United Fund Councils United Way Unwed Mothers/Single Parent Upholsterer Urban Leagues Urban Planners Urgent Care Centers Utilization Review Consultant Vacant Property Vaping Store (e-cig store) Victims of Abuse Video and; Music Sales/Rental Video Editing - taping, Dubbing, Editing Vinyl/Leather/Upholstery Repair Virtual Reality Business - other than mall kiosk Virtual Reality Gear Manufacturer Virtual Reality Mall Kiosk – headsets or goggles only Virtual Reality Mall Kiosk – with motion or ride Virtual Reality - mobile business Vocational Counseling Vocational Rehabilitation Vocational School Insurance Vocational Sheltered Workshops Waxing - Body or Face (Beauty) Waxing - Eyebrows Only (Beauty) Wedding and Party Planners Wedding cake and/or Cookie Sales Weight Loss Clinic Welcoming Services Wildlife Control (such as nuisance) Women’s Crisis Services Women’s Shelters Wood Furniture Crafters Wood Products excluding toys Word Processing Writers/Authors X-Ray Laboratories Yacht Club YMCAs/YWCAs, YMHAs/ YWHAs Yoga / Pilates Instructor Yoga / Pilates Studio Youth Centers Youth Clubs Youth Counseling
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Type of Business #2 CHOOSE ONE 1031 Exchange Services Abstracting and Indexing Service Abused Adult Shelters (Battered Women) Accounting Service Accreditation services Actuarial services Acupuncturist Adjuster - Independent Claims Adjuster Adjustment Bureaus Administrative Support Service Administrators Adoption services Advertiser Advertising Agency Affordable Housing After School Tutoring Agricultural Consultants Airport Shuttle Alarm Monitoring Services Alcohol/Drug Counseling Alcoholics Anonymous Alcoholics Anonymous Meetings Allied Healthcare Ambulance Services Analytical Labs Animal Groomer – dogs, cats, birds Animal Groomer – including horses Animal Breeder Animal Control (including nuisance wildlife) Animal Shelter Animal Shelters / Rescue Groups Animal Therapist – that treats animals Animal Therapist – used to treat humans Animal Trainer Animal Trapper Answering Service Antique Appraiser Antique Dealers and; Restorers Antique Gallery / Studio Antique Gallery Sales Only no Studio Anxiety Counseling Apartment Complex Appliance Repair or Installation Appraisal Service – Property (real estate) Appraisers - Business Appraisers - Jewelry Arbitrators and Mediators Arborist - no tree trimming Arborist - with tree trimming Archaeologist - with digging Archaeologist - without digging Architects Arson Inspector / Investigator Art Conservator Art Gallery WITH framing Art Gallery WITH OUT framing Artists Supplies Store Arts and Crafts Maker Asbestos Consultant Asbestos Inspector Asbestos Manager /Planner Assets Manager (RTC) Assisted living (Non Medical) Management Association Management Service Associations for Retarded Citizens (ARCs) At Risk Youth Counseling ATHLETICS Auctioneers – away from home Audiologist Audit Service (Non-Financial) Authors (All Others) Authors (Controversial) Authors (Technical) Automobile Dealers Background Checking/Screening Service Baked goods distributor Baked goods distributor - Pet Food Bakeries – WITHOUT cooking - Pet Food Bakeries Retail – with cooking Bakeries Retail – without cooking Bakeries Wholesale – WITHOUT cooking Balloon Art - Not Entertainer Balloon Artist or Twister (performer) Bar (includes wine bar) Barber - Individual Barber Shop Barber Supplies Bartending School Baseball Coach Battered Victims Shelters BBQ Cleaning or Repair Beauticians - Individual or Independent Contractor Beauty School or Barber School Insurance Beauty Shops Beauty Supplies Bee Keeper Insurance Behavioral Treatment Benefit Plan Administrator Benefit Plan Consulting Big Brother / Big Sister Organizations Billiards Hall Billing Service Billing Services-Non Medical Biotech Lab with Clinical Trials Biotech Research and Development Lab Bird Trainer Bird Trainer (includes cats and dogs) Blind/Visually Impaired Services Blood Bank Blood Mobile Blow Dry Bar Body Piercer Book Mobile Book or Magazine Distributor Book or Magazine Publisher Bookbinding Bookkeeping Service Booster Club or PTA Botanical Gardens Bowling Alley Boys & Girls Clubs Boys & Girls Clubs Boys Homes Brand Ambassador (with product demonstration) Brand Ambassador (without product demonstration) Bumper Cars Business & Citizenship Programs Business Brokers Business Managers Business Outsourcing Services Cafe Cafeteria Call Center Services Calligraphy Camera/Photography Sales or Repair Campground Camps Candle Sales, excluding making of candles Candle Sales, including making of candles Candy / Nut Confections Store Canine Beautician (includes cats, birds) Car Dealership Car Detailer - mobile Car Show - Antique Auto Show Car Title and/or Tag Services Car Wash – not self service Car Wash – self service Car Wholesaler Career & Vocational Counseling Career Counseling Caregivers (Non Medical) Carriage Rides Carwash – at a fixed location Carwash - Mobile Cat Groomer – dogs and bird OK too Caterer (that DOES NOT serve food from the truck) Caterer (that serves food from the truck ) Cell Phone/Pager Sales Cemetery Operations Ceramics Manufacturer Ceramics Store Certification Services Charitable Organizations Fundraising Organizations Charter Bus Charter School Insurance Chicken Catcher Child & Family Services Child Abuse Information & Treatment Child Care Childcare Center/ Daycare Chiropractors CHOOSE ONE Christmas Tree Lot Insurance Christmas Light Hanger or Installer Church or Synagogue or other House of Worship Claim Administration Claims Adjuster - WC, Medical Claims Adjuster-P/C only Clinical Testing /Trials Clock or Watch Repair Closet and Space Designer (not an Architect) Closing Services (Real Estate) Clowns, Magicians, Balloon Arists Coaching Service - Life Coach Coaching Service - Sports or Athletics Collection Agencies College Coach or Consultant Color Counsutant Communication Consultant (All Other) Communication Consultant (Crisis Mgmnt) Communication Consultants (Wireless) Community & Business Advocacy Community Action Centers (CACs) Community Centers Community Coalitions Community Improvement Compliance Consultant Computer Billing Services Computer Fraud Investigators Computer Repair Computer Sales Computer Service Bureau CONDO ASSOCIATION Confectionner or Candy Maker Congregate Meals Conservation Groups Consignment Store Construction Managers Consultant (Average) Consultant (Critical) Consultant (Hazardous) Consultant (Non-Critical) Contest Managers Contractor - Carpenter Contractor - Electric Contractor - Painter Contractor – Plumbing Convention/Trade Show Coroner Cosmetic Sales (Avon, Mary Kay, etc...) Cosmetics Manufacturing Cosmetologist Cosmetology School Insurance Cost Containment Consultant Counseling & Referral Counseling &; Treatment Centers (Post Detox) Counseling for Eating Disorders Counseling Programs Counselor County Clerks Courier Court Reporter Crafts – Excluding Candles Crafts – Including Candles Crane Inspector Credit Bureaus - Credit Reporting Credit Bureaus - data collection Credit Card Services Credit Debt Counseling Credit Investigation Credit or Debt Counselor Crematory Operations Crisis Centers Crisis Intervention (Non Suicide) Custodial Agent Custom Brokers Cyber Liability Dairy Farmer Damage Appraiser Dance Instructor Data Processors Database Management Dating Services Day Care Center / Childcare Daycare - Adult Deaf/Hearing Impaired Services Debt Collection Service Debt Counselor or Credit Counselor Dental Labs Dental Schools Dentist Office Design and Build Firms Desktop Publishing Destruction /Shredding Service Dialysis Centers Diet Centers Dietician Direct Mail Services Disability Services Disc Jockey Dispatch Services (EMS) Dispatch Services (Except EMS) Dispensary Divorce Counseling Document/Office Records Destruction Dog Groomer (or cats, birds) – at fixed location only Dog Groomer (or cats, birds) – mobile only Dog Groomer(or cats, birds) – mobile and at store or fixed location Dog Obedience School Dog Track Dog Trainer – including guard dogs Dog Trainer – NOT including guard dogs Dog Walker Doggie Day Care Draftsmen Driving Instructors /Trainers Drone Manufacturer (or Designer) Drug /Alcohol Rehabilitation Drug Abuse & Addiction Information Drug Counselor / CDAC Drug Testing Consultants Dry Food Products/Mixes Vendor Duck Call Manufacturer Ear Piercing (Beauty) Earthquake Preparedness Trainer E-Cigarette distributor or wholesaler (ecig) ECigarette Store (ecig or vaping store) Eco Consultant / Green Consultant Editing Services Editorial Service/Proofreaders EDP Operations Education Consultant Education Counselors Electronic Data Counselors Elevator Inspectors Embroidery Emergency Medical Technicians Emergency Shelters Employed Lawyers Employee Benefits Counsulting Employee Leasing Employee Training Services Employment Agencies/Staffing - Clerical and; Labor Employment Agencies/Staffing - Prof./Mgmt Employment Agency Energy Consultant Engraving Ergonomics Consultant Escape Room (for fun or amusement) Escrow Agents Ethnic/Immigrant Services Event Planners Executive Recruiting Expediting Service Expert Witness Expert Witness Consultant Facilities Manager Family Counseling Family Fun Center Farm Animal Testing Farm Managers Farming Consultant Fashion or Wardrobe Consultant Fashion Truck Financial Administrator Financial Institutions Financial Planning Fingerprint ID Services First Aid Treatment Trainer Fish Farming Consultant Fitness Consultant Flea Market or Swap Meet – Indoor Flea Market or Swap Meet – Indoor and Outdoor Flea Market or Swap Meet – Outdoor Flood Research Floral Consultant Florist Fly Board / FlyBoard - on the water activity Food Banks Food Broker Food Cart Food Delivery Network (like grub hub) Food Distribution Food Pantries Food Supplements/Vitamins Food Taxi (delivery but not a caterer/food truck) Food Truck Foreclosure Agents Foreclosure CleanUp or TrashOut Forensic Analysts Forensic Investigators/Analysts Foresters Fountain Consultant Framing Store Franchisers Fraternal Organization Freight Forwarders Fulfillment Services Fund Raising Services Funding Organizations Funeral Directors Furniture Refinisher Gambling Services Games Promoters Games Puzzles Vendor Gay / Lesbian Services GED School Insurance Genealogists General Family Services Geological Consultant Geologists Geotechnical Engineers Gift Delivery Service (balloons, gift baskets, etc...) Gift Shop Glassware Golf Cart Dealer Golf Course Designers /Management Goodwill Stores Government Assistance Services Grant Making Organizations Grant Writing Service Grants Coordinator Graphic Artist/Designer Graphic Designers Grief Counseling Grocery Store - with restaurant Grocery Store - without restaurant Group Homes Group Residential Guide Dog Training Gym / Fitness Center Halfway Homes Halfway Housing Handicrafts - excluding candles Handicrafts - including candles Handwriting Analysis Haunted House Insurance Hazardous Waste Consultant Head Start Program Health & Allied Schools Health Clinics /Outpatient Healthcare Clinics Hearing Aid Sales Hearing Impairment Clinics Hedge Funds Historical Societies Hobby and Model Supplies Hog Trapping Holiday Light Hanger or Installer Home Health Care Home Inspection Services Home Stager Homeless Shelters Honey Products Manufacturer Hood or Duct or Kitchen Exhaust Cleaner or Pressure Washer Horse Groomer Horse Trainer Horse Trainer and Groomer Horticultural Societies Hospices Hospitals /Clinics Hostage Negotiations Hotel Courtesy Shuttle Hotel Manager Household Products – (Amway, Fuller Brush, etc...) Housing Authorities Housing for Retired Clergy Housing Support – Senior Citizens Human Resource Consultant Human Service Organizations Humane Society Hydrologists Ice Cream Manufacturer Ice Cream Store Ice Cream Truck Ice House Ice Sculpter Ice Skating Rink In Home Care Information Search Retrieval Information Storage/Retrieval (Non-digital) Inline Skating Rink Inspection Services Insurance Agent or Broker Insurance Agents Insurance Consultant Insurance Inspector - Homeowners Insurance Inspector - Other Insurance Risk Manager Interior Decorating Interior Design/Space Interior Window Treatments Interpreter - Spoken Inventory Control Specialist Investigators Investment Consultants Investment Trust Counselors Irrigation Consultants Janitorial - Commercial Janitorial - Residential Janitorial - Residential and Commercial Jewelry (Costume) Job Counselor Job Placement Services Karaoke Jockey Kennel (includes doggie day care) Kiosk Kitchen Designer or Planner Kitchen Hood or Duct Cleaner Kitchen Supplies Sales (Tupperware, etc...) Ladies/Girls Clothing, Accessories Land Surveyors LANDLORD (lessors' risk) Landscape Architects Laser Hair Removal Lash Extension Law Enforcement Lawyers Lead Generation Learning Disorder Services Lease Brokers Leather Goods Letter Writing Library Life Sciences Light Hanger Insurance - Annual Light Hanger Insurance – Seasonal or Holiday Lighting Design Counsultant Limousine Lingerie Store Literary Agents Loan Broker Loan Modification Services Loan Origination Service Lobbyist Locksmith Lodge Insurance Logistics Providers Loss Adjuster and Assessor Loss Control Consultant Low Income Housing LSV Dealer (includes golf carts) LSV Shuttle or Taxi Luge Instructor Luge Track Luggage Store Magazine Publisher Mailing Services Mailing Services Mall Kiosk Management Consultant Manicurist or Pedicurist (Beauty) Manufactured Home Dealer Manufactured Home Lot (Mobile Home Lot) Manufacturer - OTHER producers not listed Manufacturer - Automotive or Motorcycle Parts Manufacturer - Baked Goods Manufacturer - Beauty of Cosmetic Products Manufacturer - Clothing and Apparel Manufacturer - Computers Manufacturer - Electronics Manufacturer - Frozen Goods Manufacturer - Furniture Manufacturer - Housewares Manufacturer - Ice Manufacturer - Metal or Aluminum Products Manufacturer - Paper Products Manufacturer - Plastic Products Manufacturer - Rubber Products Marina Marine Surveyors Market Research Marketing Consultant Marriage & Family Counseling Martial Arts School or Studio Mary Kay Massage Therapist Mediator Medical Billing Medical Claims Processing / Transcriptionist Medical Clinic Medical Cost Containment Consulting Medical Diagnostic Equipment Medical Labs Medical Malpractice Medical Marijuana Dispensary, Grower, or Caregiver Medical Office Medical Staffing Meeting Planner Meeting Planners Membership Club Men’s/Boy’s Clothing Accessories Mental Health Clinics Mental Health Counselor Mental Health Services Mental Retardation Facilities Messenger Metal Detecting Business Meteorologists Methadone Clinic Microblading Microfilm Recording Ministry / Clergy Mobil Diagnostic Labs Mobile Beauty Parlor (operating from a truck) Mobile Beauty Professional (not in a truck) Mobile Boutique Mobile Food Cart Mobile Food Vendor Mobile Hair Salon or Nail Salon (operating from a truck) Mobile Home Park Mobile Video Game Vehicle Models Monogramming Moose Lodge Mortgage Bankers Mortgage Broker / Banker Mortgage Closing Services Mortgage Field Inspection Mortgage Field Inspector Mortgage Impairment Morticians MRDD Rehabilitation Services Multiple Listing Agents Museum Music Therapist Musical Instrument Sales/Repair Mutual Funds Management Nail Technician Nanny Placement Services Neighborhood Multi Service Centers Newspaper/Magazine/Book Delivery Non-Profit - Other Notary Public Notary Signing Agency - sends out independent contractors Nurse - home health care only Nurse - hospitals or other facilities Nurses Registry Nursing Homes- Clinics Nursing Homes Visiting Nursing School Insurance Nutrition Programs Nutritionist Occupational Safety Office Administration Office Supplies Vendor Oktoberfest Online Store or Retailer Optometrist Organic Farmer Orphanages OTHER OTHER OTHER Outpatient Surgical Centers Outreach Programs Paging Services Paint Ball Paper Goods Manufacturer Paralegal Paramedics Parenting Education Party Bus Party Planners Pastoral Counseling Patent Agents- Attorneys Pathology Lab Pawn Broker / Shop Pay Telephone Provider Payroll Services Pedal Crawler – Pedal Pub – Bike Tour Pension Advisors Permanent Makeup (Beauty) – no other tattooing Personal Care Products Personal Fitness Trainer Personal Image Consultant Personal Trainer Personalized Books and; Gifts Personnel Agency Pest Control Pet Groomer Pet Sitter - in other people’s homes Pet Trainer – including guard dogs Pet Trainer – NOT including guard dogs Pet Trainer – other than dogs, cats, and birds Petting Zoo Pharmaceutical Consultant Pharmacist Malpractice Pharmacy Insurance Phlebotomist Photo and; Duplicating Services Photo Studios and; Duplicating Services Photographer Physical Therapy Clinics Picture Framing Planner - Non-structural Plasma Center Pole Dance Instructor Pole Dance School Polygraph Analysts Pony Ride Pool Cleaning and / or installing Pool Hall Pool Monitor (swimming pool) Porta Potty Business Postal Store or Mail Store Preferred Providers Org Pregnancy Help Centers Premium Finance Company Prepaid Calling Card Vendor Pressure Washing or Pressure Washer Print Broker Printer Prison Families Support Services Private Foundations Private Investigator Process Server Product Demonstrator Insurance Professional Employee Organization - PEO Professional Organizer Professional Societies, Associations Professional Speakers Project and; Contract Management Prom - Dance Event Property Management Property Preservationist Psychologist Services Psychologists Public Officials Public Relations Consultant Publisher Pumpkin Patch insurance Quickbooks Consultant Radiation Safety Consultant Radiation Therapy Rage Room Rape Counseling Services Reading Programs Real Estate Agent or Broker - Commercial Real Estate Agent or Broker- Residential Real Estate Agent or Broker- Residential and Commercial Real Estate Appraiser - Commercial Real Estate Appraiser - Residential Real Estate Appraiser - Residential and Commercial Real Estate Construction Management Real Estate Developer Real Time Captioners Recovery Services (Non-digital) Referral Agencies Referral Club Refugees & Settlement Services Registered Agent Rehabilitation Centers (Drug & Alcohol) Rehabilitation Centers (Physical) REIT’s Manager /Administrator Religious Goods Religious Outreach Relocation Agent Rescue Missions Rescue Missions Research Consultant Research Organization Reservation Services Respiratory Therapists Restaurant - Fast Food Restaurant - no tables (such as served from a window) Restaurant - with table service Restaurant - without table service (Waiters and waitresses) Resume Service – writing or consulting Retail Toy Sales Ride Share DRIVER Ride Sharing Company Risk Management Services RTC Asset Manager Rubber Stamp Business Safe Deposit Box Verifier Safety Consultants Sauce or Spice Manufacturer Scentscy Salesperson School Board Liability School Social Work Scrapbooking Second Hand or Thrift Stores Secretarial Service Security advisor (digital, web, technology professional) Security Brokers Security Guards (Armed) Security Guards (Unarmed) Security Services (non-digital) Security System Consultants Seedman’s E&O Self-Help for Addicts Seminar Conductors Senior Activities Centers (Non Medical) Senior Centers Senior Independent Living SEO Consultant Service Leagues Settlement Housing Sexual Therapist Sheep Shearer Shipping Agents Shoe Manufacturer Shoe Repair (includes luggage) Shoe Shine Valet Shoe Store (retail) Shoe Wholesaler or Distributor Sign design consultant only, no installation Sign Painting Single Parent Agencies / Services Skeleton Sled Instructor Sleep Disorder Counseling Sleep Center - clients sleep at the center Sleep Center - research only, no clients sleeping at the center Smoker’s Information & Treatment Snowplowing and Snow Removal Sober Living Home Social Introduction Services Social Media Marketing (includes SEO) Social Security Disability Representative Social Service Organizations Social Services Agency Soil Testing Soup Kitchens Speakers/Lectors Bureau Speech Therapist Speech Therapists Spice Manufacturer Spiritual Counseling Sports Agent Sprinkler Installer and Mainentance Staffing Agency Stationary Statistical Consultant Stenciling Stress Management Services Structured Settlement Brokers Student Health Student Loan Servicing Subscription Fulfillment Subsidized Housing Substance Abuse Recovery (Post Detox) Support Groups Swim School (with a fixed location) Swim School (mobile) Swim Instructor (individual) Swim Instructor (multiple instructors) Supportive Housing Tabulating Service Tailoring, Alterations, Seamstresses Talent Agency Tanning (mobile and on-site) (Beauty) Tattoo Artist (no piercing) Tattoo Artist (with piercing too) Tax Preparer or Book Keeper Taxidermist Teachers/Tutors except sports Teeth Whitening (Beauty) Telecommunications Consultant Teleconferencing Services Telemarketing, Telephone Solicitation Telephone Answering Service Temporary Help Agency Temporary Housing Temporary Relief Services Tenant Screening Services Testing (Non-Destructive) Testing Labs (Aids) Testing Labs (Medical) Testing Labs (Non-Medical) Thermographer - medical Thermographer - non-medical Third Party Admins excl. Benefits Admins. Threading eyebrows Thrift Store Thrift Stores Ticket Brokers/Agencies Ticket Brokers/Agencies Title Abstractor/Searcher Title Company Title Insurance Agents Toner Cartridge Recharging Tour Bus Only Tour Operator – other than a walking tour Tour Operator - Walking Tour Only Tour Operator – Walking Tour Only Tour Operator - without a tour bus Tractor Pull - special event Trade Associations or Guild Trade Show – Special Event Trade Show Organizer Traffic Consultant or Parking Consultant Training Services – describe in box below Training Specialist/Seminar Conductor Trampoline Park Transcribing, Court Reporters Transfer Agents Transitional Housing Translator Translator or Interpreter - Written or Oral Travel Agents Trophy Sales Trucking Trust Department E&O Trustees - Asset Dissolution and Distribution Trustees- Not Asset Dissolution Tutor – In Home Tutor – Piano Tutor – Sports Only Tutoring center TV/VCR Repair Uber Driver / UberX Driver / Lyft Driver Umpire/Referee Underground Utility Locators United Fund Councils United Way Unwed Mothers/Single Parent Upholsterer Urban Leagues Urban Planners Urgent Care Centers Utilization Review Consultant Vacant Property Vaping Store (e-cig store) Victims of Abuse Video and; Music Sales/Rental Video Editing - taping, Dubbing, Editing Vinyl/Leather/Upholstery Repair Virtual Reality Business - other than mall kiosk Virtual Reality Gear Manufacturer Virtual Reality Mall Kiosk – headsets or goggles only Virtual Reality Mall Kiosk – with motion or ride Virtual Reality - mobile business Vocational Counseling Vocational Rehabilitation Vocational School Insurance Vocational Sheltered Workshops Waxing - Body or Face (Beauty) Waxing - Eyebrows Only (Beauty) Wedding and Party Planners Wedding cake and/or Cookie Sales Weight Loss Clinic Welcoming Services Wildlife Control (such as nuisance) Women’s Crisis Services Women’s Shelters Wood Furniture Crafters Wood Products excluding toys Word Processing Writers/Authors X-Ray Laboratories Yacht Club YMCAs/YWCAs, YMHAs/ YWHAs Yoga / Pilates Instructor Yoga / Pilates Studio Youth Centers Youth Clubs Youth Counseling
Other Business Type - please describe your operations
What are your estimated gross receipts from this part of your business?
Type of Business #3 CHOOSE ONE 1031 Exchange Services Abstracting and Indexing Service Abused Adult Shelters (Battered Women) Accounting Service Accreditation services Actuarial services Acupuncturist Adjuster - Independent Claims Adjuster Adjustment Bureaus Administrative Support Service Administrators Adoption services Advertiser Advertising Agency Affordable Housing After School Tutoring Agricultural Consultants Airport Shuttle Alarm Monitoring Services Alcohol/Drug Counseling Alcoholics Anonymous Alcoholics Anonymous Meetings Allied Healthcare Ambulance Services Analytical Labs Animal Groomer – dogs, cats, birds Animal Groomer – including horses Animal Breeder Animal Control (including nuisance wildlife) Animal Shelter Animal Shelters / Rescue Groups Animal Therapist – that treats animals Animal Therapist – used to treat humans Animal Trainer Animal Trapper Answering Service Antique Appraiser Antique Dealers and; Restorers Antique Gallery / Studio Antique Gallery Sales Only no Studio Anxiety Counseling Apartment Complex Appliance Repair or Installation Appraisal Service – Property (real estate) Appraisers - Business Appraisers - Jewelry Arbitrators and Mediators Arborist - no tree trimming Arborist - with tree trimming Archaeologist - with digging Archaeologist - without digging Architects Arson Inspector / Investigator Art Conservator Art Gallery WITH framing Art Gallery WITH OUT framing Artists Supplies Store Arts and Crafts Maker Asbestos Consultant Asbestos Inspector Asbestos Manager /Planner Assets Manager (RTC) Assisted living (Non Medical) Management Association Management Service Associations for Retarded Citizens (ARCs) At Risk Youth Counseling ATHLETICS Auctioneers – away from home Audiologist Audit Service (Non-Financial) Authors (All Others) Authors (Controversial) Authors (Technical) Automobile Dealers Background Checking/Screening Service Baked goods distributor Baked goods distributor - Pet Food Bakeries – WITHOUT cooking - Pet Food Bakeries Retail – with cooking Bakeries Retail – without cooking Bakeries Wholesale – WITHOUT cooking Balloon Art - Not Entertainer Balloon Artist or Twister (performer) Bar (includes wine bar) Barber - Individual Barber Shop Barber Supplies Bartending School Baseball Coach Battered Victims Shelters BBQ Cleaning or Repair Beauticians - Individual or Independent Contractor Beauty School or Barber School Insurance Beauty Shops Beauty Supplies Bee Keeper Insurance Behavioral Treatment Benefit Plan Administrator Benefit Plan Consulting Big Brother / Big Sister Organizations Billiards Hall Billing Service Billing Services-Non Medical Biotech Lab with Clinical Trials Biotech Research and Development Lab Bird Trainer Bird Trainer (includes cats and dogs) Blind/Visually Impaired Services Blood Bank Blood Mobile Blow Dry Bar Body Piercer Book Mobile Book or Magazine Distributor Book or Magazine Publisher Bookbinding Bookkeeping Service Booster Club or PTA Botanical Gardens Bowling Alley Boys & Girls Clubs Boys & Girls Clubs Boys Homes Brand Ambassador (with product demonstration) Brand Ambassador (without product demonstration) Bumper Cars Business & Citizenship Programs Business Brokers Business Managers Business Outsourcing Services Cafe Cafeteria Call Center Services Calligraphy Camera/Photography Sales or Repair Campground Camps Candle Sales, excluding making of candles Candle Sales, including making of candles Candy / Nut Confections Store Canine Beautician (includes cats, birds) Car Dealership Car Detailer - mobile Car Show - Antique Auto Show Car Title and/or Tag Services Car Wash – not self service Car Wash – self service Car Wholesaler Career & Vocational Counseling Career Counseling Caregivers (Non Medical) Carriage Rides Carwash – at a fixed location Carwash - Mobile Cat Groomer – dogs and bird OK too Caterer (that DOES NOT serve food from the truck) Caterer (that serves food from the truck ) Cell Phone/Pager Sales Cemetery Operations Ceramics Manufacturer Ceramics Store Certification Services Charitable Organizations Fundraising Organizations Charter Bus Charter School Insurance Chicken Catcher Child & Family Services Child Abuse Information & Treatment Child Care Childcare Center/ Daycare Chiropractors CHOOSE ONE Christmas Tree Lot Insurance Christmas Light Hanger or Installer Church or Synagogue or other House of Worship Claim Administration Claims Adjuster - WC, Medical Claims Adjuster-P/C only Clinical Testing /Trials Clock or Watch Repair Closet and Space Designer (not an Architect) Closing Services (Real Estate) Clowns, Magicians, Balloon Arists Coaching Service - Life Coach Coaching Service - Sports or Athletics Collection Agencies College Coach or Consultant Color Counsutant Communication Consultant (All Other) Communication Consultant (Crisis Mgmnt) Communication Consultants (Wireless) Community & Business Advocacy Community Action Centers (CACs) Community Centers Community Coalitions Community Improvement Compliance Consultant Computer Billing Services Computer Fraud Investigators Computer Repair Computer Sales Computer Service Bureau CONDO ASSOCIATION Confectionner or Candy Maker Congregate Meals Conservation Groups Consignment Store Construction Managers Consultant (Average) Consultant (Critical) Consultant (Hazardous) Consultant (Non-Critical) Contest Managers Contractor - Carpenter Contractor - Electric Contractor - Painter Contractor – Plumbing Convention/Trade Show Coroner Cosmetic Sales (Avon, Mary Kay, etc...) Cosmetics Manufacturing Cosmetologist Cosmetology School Insurance Cost Containment Consultant Counseling & Referral Counseling &; Treatment Centers (Post Detox) Counseling for Eating Disorders Counseling Programs Counselor County Clerks Courier Court Reporter Crafts – Excluding Candles Crafts – Including Candles Crane Inspector Credit Bureaus - Credit Reporting Credit Bureaus - data collection Credit Card Services Credit Debt Counseling Credit Investigation Credit or Debt Counselor Crematory Operations Crisis Centers Crisis Intervention (Non Suicide) Custodial Agent Custom Brokers Cyber Liability Dairy Farmer Damage Appraiser Dance Instructor Data Processors Database Management Dating Services Day Care Center / Childcare Daycare - Adult Deaf/Hearing Impaired Services Debt Collection Service Debt Counselor or Credit Counselor Dental Labs Dental Schools Dentist Office Design and Build Firms Desktop Publishing Destruction /Shredding Service Dialysis Centers Diet Centers Dietician Direct Mail Services Disability Services Disc Jockey Dispatch Services (EMS) Dispatch Services (Except EMS) Dispensary Divorce Counseling Document/Office Records Destruction Dog Groomer (or cats, birds) – at fixed location only Dog Groomer (or cats, birds) – mobile only Dog Groomer(or cats, birds) – mobile and at store or fixed location Dog Obedience School Dog Track Dog Trainer – including guard dogs Dog Trainer – NOT including guard dogs Dog Walker Doggie Day Care Draftsmen Driving Instructors /Trainers Drone Manufacturer (or Designer) Drug /Alcohol Rehabilitation Drug Abuse & Addiction Information Drug Counselor / CDAC Drug Testing Consultants Dry Food Products/Mixes Vendor Duck Call Manufacturer Ear Piercing (Beauty) Earthquake Preparedness Trainer E-Cigarette distributor or wholesaler (ecig) ECigarette Store (ecig or vaping store) Eco Consultant / Green Consultant Editing Services Editorial Service/Proofreaders EDP Operations Education Consultant Education Counselors Electronic Data Counselors Elevator Inspectors Embroidery Emergency Medical Technicians Emergency Shelters Employed Lawyers Employee Benefits Counsulting Employee Leasing Employee Training Services Employment Agencies/Staffing - Clerical and; Labor Employment Agencies/Staffing - Prof./Mgmt Employment Agency Energy Consultant Engraving Ergonomics Consultant Escape Room (for fun or amusement) Escrow Agents Ethnic/Immigrant Services Event Planners Executive Recruiting Expediting Service Expert Witness Expert Witness Consultant Facilities Manager Family Counseling Family Fun Center Farm Animal Testing Farm Managers Farming Consultant Fashion or Wardrobe Consultant Fashion Truck Financial Administrator Financial Institutions Financial Planning Fingerprint ID Services First Aid Treatment Trainer Fish Farming Consultant Fitness Consultant Flea Market or Swap Meet – Indoor Flea Market or Swap Meet – Indoor and Outdoor Flea Market or Swap Meet – Outdoor Flood Research Floral Consultant Florist Fly Board / FlyBoard - on the water activity Food Banks Food Broker Food Cart Food Delivery Network (like grub hub) Food Distribution Food Pantries Food Supplements/Vitamins Food Taxi (delivery but not a caterer/food truck) Food Truck Foreclosure Agents Foreclosure CleanUp or TrashOut Forensic Analysts Forensic Investigators/Analysts Foresters Fountain Consultant Framing Store Franchisers Fraternal Organization Freight Forwarders Fulfillment Services Fund Raising Services Funding Organizations Funeral Directors Furniture Refinisher Gambling Services Games Promoters Games Puzzles Vendor Gay / Lesbian Services GED School Insurance Genealogists General Family Services Geological Consultant Geologists Geotechnical Engineers Gift Delivery Service (balloons, gift baskets, etc...) Gift Shop Glassware Golf Cart Dealer Golf Course Designers /Management Goodwill Stores Government Assistance Services Grant Making Organizations Grant Writing Service Grants Coordinator Graphic Artist/Designer Graphic Designers Grief Counseling Grocery Store - with restaurant Grocery Store - without restaurant Group Homes Group Residential Guide Dog Training Gym / Fitness Center Halfway Homes Halfway Housing Handicrafts - excluding candles Handicrafts - including candles Handwriting Analysis Haunted House Insurance Hazardous Waste Consultant Head Start Program Health & Allied Schools Health Clinics /Outpatient Healthcare Clinics Hearing Aid Sales Hearing Impairment Clinics Hedge Funds Historical Societies Hobby and Model Supplies Hog Trapping Holiday Light Hanger or Installer Home Health Care Home Inspection Services Home Stager Homeless Shelters Honey Products Manufacturer Hood or Duct Cleaner or Pressure Washer Horse Groomer Horse Trainer Horse Trainer and Groomer Horticultural Societies Hospices Hospitals /Clinics Hostage Negotiations Hotel Courtesy Shuttle Hotel Manager Household Products – (Amway, Fuller Brush, etc...) Housing Authorities Housing for Retired Clergy Housing Support – Senior Citizens Human Resource Consultant Human Service Organizations Humane Society Hydrologists Ice Cream Manufacturer Ice Cream Store Ice Cream Truck Ice House Ice Sculpter Ice Skating Rink In Home Care Information Search Retrieval Information Storage/Retrieval (Non-digital) Inline Skating Rink Inspection Services Insurance Agent or Broker Insurance Agents Insurance Consultant Insurance Inspector - Homeowners Insurance Inspector - Other Insurance Risk Manager Interior Decorating Interior Design/Space Interior Window Treatments Interpreter - Spoken Inventory Control Specialist Investigators Investment Consultants Investment Trust Counselors Irrigation Consultants Janitorial - Commercial Janitorial - Residential Janitorial - Residential and Commercial Jewelry (Costume) Job Counselor Job Placement Services Karaoke Jockey Kennel (includes doggie day care) Kiosk Kitchen Designer or Planner Kitchen Hood or Duct Cleaner Kitchen Supplies Sales (Tupperware, etc...) Ladies/Girls Clothing, Accessories Land Surveyors LANDLORD (lessors' risk) Landscape Architects Laser Hair Removal Lash Extension Law Enforcement Lawyers Lead Generation Learning Disorder Services Lease Brokers Leather Goods Letter Writing Library Life Sciences Light Hanger Insurance - Annual Light Hanger Insurance – Seasonal or Holiday Lighting Design Counsultant Limousine Lingerie Store Literary Agents Loan Broker Loan Modification Services Loan Origination Service Lobbyist Locksmith Lodge Insurance Logistics Providers Loss Adjuster and Assessor Loss Control Consultant Low Income Housing LSV Dealer (includes golf carts) LSV Shuttle or Taxi Luge Instructor Luge Track Luggage Store Magazine Publisher Mailing Services Mailing Services Mall Kiosk Management Consultant Manicurist or Pedicurist (Beauty) Manufactured Home Dealer Manufactured Home Lot (Mobile Home Lot) Manufacturer - OTHER producers not listed Manufacturer - Automotive or Motorcycle Parts Manufacturer - Baked Goods Manufacturer - Beauty of Cosmetic Products Manufacturer - Clothing and Apparel Manufacturer - Computers Manufacturer - Electronics Manufacturer - Frozen Goods Manufacturer - Furniture Manufacturer - Housewares Manufacturer - Ice Manufacturer - Metal or Aluminum Products Manufacturer - Paper Products Manufacturer - Plastic Products Manufacturer - Rubber Products Marina Marine Surveyors Market Research Marketing Consultant Marriage & Family Counseling Martial Arts School or Studio Mary Kay Massage Therapist Mediator Medical Billing Medical Claims Processing / Transcriptionist Medical Clinic Medical Cost Containment Consulting Medical Diagnostic Equipment Medical Labs Medical Malpractice Medical Marijuana Dispensary, Grower, or Caregiver Medical Office Medical Staffing Meeting Planner Meeting Planners Membership Club Men’s/Boy’s Clothing Accessories Mental Health Clinics Mental Health Counselor Mental Health Services Mental Retardation Facilities Messenger Metal Detecting Business Meteorologists Methadone Clinic Microblading Microfilm Recording Ministry / Clergy Mobil Diagnostic Labs Mobile Beauty Parlor (operating from a truck) Mobile Beauty Professional (not in a truck) Mobile Boutique Mobile Food Cart Mobile Food Vendor Mobile Hair Salon or Nail Salon (operating from a truck) Mobile Home Park Mobile Video Game Vehicle Models Monogramming Moose Lodge Mortgage Bankers Mortgage Broker / Banker Mortgage Closing Services Mortgage Field Inspection Mortgage Field Inspector Mortgage Impairment Morticians MRDD Rehabilitation Services Multiple Listing Agents Museum Music Therapist Musical Instrument Sales/Repair Mutual Funds Management Nail Technician Nanny Placement Services Neighborhood Multi Service Centers Newspaper/Magazine/Book Delivery Non-Profit - Other Notary Public Notary Signing Agency - sends out independent contractors Nurse - home health care only Nurse - hospitals or other facilities Nurses Registry Nursing Homes- Clinics Nursing Homes Visiting Nursing School Insurance Nutrition Programs Nutritionist Occupational Safety Office Administration Office Supplies Vendor Oktoberfest Online Store or Retailer Optometrist Organic Farmer Orphanages OTHER OTHER OTHER Outpatient Surgical Centers Outreach Programs Paging Services Paint Ball Paper Goods Manufacturer Paralegal Paramedics Parenting Education Party Bus Party Planners Pastoral Counseling Patent Agents- Attorneys Pathology Lab Pawn Broker / Shop Pay Telephone Provider Payroll Services Pedal Crawler – Pedal Pub – Bike Tour Pension Advisors Permanent Makeup (Beauty) – no other tattooing Personal Care Products Personal Fitness Trainer Personal Image Consultant Personal Trainer Personalized Books and; Gifts Personnel Agency Pest Control Pet Groomer Pet Sitter - in other people’s homes Pet Trainer – including guard dogs Pet Trainer – NOT including guard dogs Pet Trainer – other than dogs, cats, and birds Petting Zoo Pharmaceutical Consultant Pharmacist Malpractice Pharmacy Insurance Phlebotomist Photo and; Duplicating Services Photo Studios and; Duplicating Services Photographer Physical Therapy Clinics Picture Framing Planner - Non-structural Plasma Center Pole Dance Instructor Pole Dance School Polygraph Analysts Pony Ride Pool Cleaning and / or installing Pool Hall Pool Monitor (swimming pool) Porta Potty Business Postal Store or Mail Store Preferred Providers Org Pregnancy Help Centers Premium Finance Company Prepaid Calling Card Vendor Pressure Washing or Pressure Washer Print Broker Printer Prison Families Support Services Private Foundations Private Investigator Process Server Product Demonstrator Insurance Professional Employee Organization - PEO Professional Organizer Professional Societies, Associations Professional Speakers Project and; Contract Management Prom - Dance Event Property Management Property Preservationist Psychologist Services Psychologists Public Officials Public Relations Consultant Publisher Pumpkin Patch insurance Quickbooks Consultant Radiation Safety Consultant Radiation Therapy Rage Room Rape Counseling Services Reading Programs Real Estate Agent or Broker - Commercial Real Estate Agent or Broker- Residential Real Estate Agent or Broker- Residential and Commercial Real Estate Appraiser - Commercial Real Estate Appraiser - Residential Real Estate Appraiser - Residential and Commercial Real Estate Construction Management Real Estate Developer Real Time Captioners Recovery Services (Non-digital) Referral Agencies Referral Club Refugees & Settlement Services Registered Agent Rehabilitation Centers (Drug & Alcohol) Rehabilitation Centers (Physical) REIT’s Manager /Administrator Religious Goods Religious Outreach Relocation Agent Rescue Missions Rescue Missions Research Consultant Research Organization Reservation Services Respiratory Therapists Restaurant - Fast Food Restaurant - no tables (such as served from a window) Restaurant - with table service Restaurant - without table service (Waiters and waitresses) Resume Service – writing or consulting Retail Toy Sales Ride Share DRIVER Ride Sharing Company Risk Management Services RTC Asset Manager Rubber Stamp Business Safe Deposit Box Verifier Safety Consultants Sauce or Spice Manufacturer Scentscy Salesperson School Board Liability School Social Work Scrapbooking Second Hand or Thrift Stores Secretarial Service Security advisor (digital, web, technology professional) Security Brokers Security Guards (Armed) Security Guards (Unarmed) Security Services (non-digital) Security System Consultants Seedman’s E&O Self-Help for Addicts Seminar Conductors Senior Activities Centers (Non Medical) Senior Centers Senior Independent Living SEO Consultant Service Leagues Settlement Housing Sexual Therapist Sheep Shearer Shipping Agents Shoe Manufacturer Shoe Repair (includes luggage) Shoe Shine Valet Shoe Store (retail) Shoe Wholesaler or Distributor Sign design consultant only, no installation Sign Painting Single Parent Agencies / Services Skeleton Sled Instructor Sleep Disorder Counseling Smoker’s Information & Treatment Snowplowing and Snow Removal Sober Living Home Social Introduction Services Social Media Marketing (includes SEO) Social Security Disability Representative Social Service Organizations Social Services Agency Soil Testing Soup Kitchens Speakers/Lectors Bureau Speech Therapist Speech Therapists Spice Manufacturer Spiritual Counseling Sports Agent Sprinkler Installer and Mainentance Staffing Agency Stationary Statistical Consultant Stenciling Stress Management Services Structured Settlement Brokers Student Health Student Loan Servicing Subscription Fulfillment Subsidized Housing Substance Abuse Recovery (Post Detox) Support Groups Supportive Housing Tabulating Service Tailoring, Alterations, Seamstresses Talent Agency Tanning (mobile and on-site) (Beauty) Tattoo Artist (no piercing) Tattoo Artist (with piercing too) Tax Preparer or Book Keeper Taxidermist Teachers/Tutors except sports Teeth Whitening (Beauty) Telecommunications Consultant Teleconferencing Services Telemarketing, Telephone Solicitation Telephone Answering Service Temporary Help Agency Temporary Housing Temporary Relief Services Tenant Screening Services Testing (Non-Destructive) Testing Labs (Aids) Testing Labs (Medical) Testing Labs (Non-Medical) Thermographer - medical Thermographer - non-medical Third Party Admins excl. Benefits Admins. Threading eyebrows Thrift Store Thrift Stores Ticket Brokers/Agencies Ticket Brokers/Agencies Title Abstractor/Searcher Title Company Title Insurance Agents Toner Cartridge Recharging Tour Bus Only Tour Operator – other than a walking tour Tour Operator - Walking Tour Only Tour Operator – Walking Tour Only Tour Operator - without a tour bus Tractor Pull - special event Trade Associations or Guild Trade Show – Special Event Trade Show Organizer Traffic Consultant or Parking Consultant Training Services – describe in box below Training Specialist/Seminar Conductor Trampoline Park Transcribing, Court Reporters Transfer Agents Transitional Housing Translator Translator or Interpreter - Written or Oral Travel Agents Trophy Sales Trucking Trust Department E&O Trustees - Asset Dissolution and Distribution Trustees- Not Asset Dissolution Tutor – In Home Tutor – Piano Tutor – Sports Only Tutoring center TV/VCR Repair Uber Driver / UberX Driver / Lyft Driver Umpire/Referee Underground Utility Locators United Fund Councils United Way Unwed Mothers/Single Parent Upholsterer Urban Leagues Urban Planners Urgent Care Centers Utilization Review Consultant Vacant Property Vaping Store (e-cig store) Victims of Abuse Video and; Music Sales/Rental Video Editing - taping, Dubbing, Editing Vinyl/Leather/Upholstery Repair Virtual Reality Business - other than mall kiosk Virtual Reality Gear Manufacturer Virtual Reality Mall Kiosk – headsets or goggles only Virtual Reality Mall Kiosk – with motion or ride Virtual Reality - mobile business Vocational Counseling Vocational Rehabilitation Vocational School Insurance Vocational Sheltered Workshops Waxing - Body or Face (Beauty) Waxing - Eyebrows Only (Beauty) Wedding and Party Planners Wedding cake and/or Cookie Sales Weight Loss Clinic Welcoming Services Wildlife Control (such as nuisance) Women’s Crisis Services Women’s Shelters Wood Furniture Crafters Wood Products excluding toys Word Processing Writers/Authors X-Ray Laboratories Yacht Club YMCAs/YWCAs, YMHAs/ YWHAs Yoga / Pilates Instructor Yoga / Pilates Studio Youth Centers Youth Clubs Youth Counseling
Other Business Type - please describe your operations
What are your estimated gross receipts from this part of your business?
Describe your Business or Organization*
Please provide a description of what your business does. If you sell a product, list the types of products that you sell.
What types of insurance are you seeking? We make it easy by asking you the only the questions
In what year did you start your business?* CHOOSE ONE 1980 or earlier 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
What year did your business start?
How many employees do you have?*
You can write "0" if you have do not have any.
What percentage of your work is done by independent contractors or 1099s (estimate) is acceptable?* CHOOSE ONE None - I don't use 1099s or indepedent contractors Less than 25% 26% to 49% 50% to 75% 75% to 99% 100% - I only use independent contractors and have no employees
How much do you pay your independent contractors (1099s) annually? Estimate OK
If you have no subcontractors, please write 0 (zero).
Does a single client represent 50% or more of your business? CHOOSE ONE YES NO
Tell us about the customer that provides more than 50% of your business.
What services do you perform for this customer and what are your estimated annual receipts (earnings before expenses) from this customer.
Do you have any prior claims? CHOOSE ONE NO - no claims in the last 5 years YES - there has been a claim in the last 5 years
Tell us About your Prior Claim
TAX ID / FEIN / Social
To quote workers compensation insurance, we need your Tax ID, FEIN, or Social if you are a sole proprietorship. For general liability, we will need it when you bind the policy.
Chose your Limits of Liability General Liability CHOOSE ONE I don't know - send me a quote starting point $500,000 / $1,000,000 $1,000,000 / $2,000,000 $1,000,000 / $3,000,000 $2,000,000 / $4,000,000
These numbers are written as the per occurrence limit and the aggregate limit. More information
Professional Liability - Errors and Omissions Insurance CHOOSE ONE I don't know - send me a quote starting point $50,000 or less (available only for a few business types) $100,000 $250,000 $500,000 $1,000,000 $2,000,000 $3,000,000 $4,000,000 $5,000,000
Property Insurance Section In this section, you can choose how much coverage you want for your equipment, a building, glass, or other items.
Do you own the building? CHOOSE ONE No - I do not own the building Yes - I do own the building
How much coverage ($) do you want for the building?
Enter an amount in this box. The underwriter will still require that your amount of coverage meet a minimum rebuilding cost per square foot. We will contact you with more information.
How much coverage ($) for your business personal property at your location?*
This includes your furniture, inventory, printers, file cabinets, etc. We'll ask you about computers in the next box.
How much coverage ($) for your business personal property AWAY from the premises?*
Remember that business personal property (BPP) is generally only covered at the address listed on your policy. This is the space where you tell us how much coverage you want quoted for equipment or tools away from the premises you listed above.
How much coverage ($) do you want to Tenant Improvements?
This includes, flooring, painting, wallpapering, and other permanent renovations that you did to you space. Also include permanently mounted equipment here.
How much coverage ($) for computers and laptops?
How much coverage ($) for awnings or canopies?
How much coverage ($) for Signs?
Signs are expensive to replace, so let us know the value or your signed mounted to the building or that's not connected.
What Year was the building that you are in built? (Estimate OK)
Have the roof, heating, electrical and plumbing have all been updated in the last 15 years?* Yes No I do not know
Do you want coverage for any specific items? Tell us about them and include the value.
If you know the year, make, and model of your equipment, please provide it. We will contact you for more information, if needed. Example: 1 tractor, 2005 model, $25000 value.
Does your location have any of the following? Commercial Auto Section Driver #1 - Provide the name at least 1 driver*
Driver #1 - Birthdate*
Driver #1 - License Number*
Driving Record for Driver #1 CHOOSE ONE I do not know Clean driving record - no tickets or accidents in last 5 years Clean driving record - no tickets or accidents in last 3 years 1 ticket or at-fault accident in last 3 years 2 tickets or at-fault accidents in last 3 years More than 2 tickets or at-fault accidents in last 3 years
Do you have a COMMERCIAL DRIVER LICENSE (CDL)?* CHOOSE ONE No Yes Yes - I will have one by the time I purchase the policy
Vehicle #1 - Year, make, and model (if you have the VIN, include it)
Vehicle #1 - Year, make, and model (if you have the VIN, include it)*
Vehicle #1 - how much is it worth? (not including permanently attached equipment)*
Vehicle #1 - how much coverage do you want for permanently attached equipment*
Examples: a dog grooming truck may have a vacuum permanently mounted; a food truck may have cooking equipment mounted to the truck.
Do you need to add more drivers or vehicles? Tell us about the other drivers and/or vehicles. Please provide the name, birthdate, and marital status of each driver. Provide the year/make/model and value of each vehicle. If you know the VINs, please provide them.
If there is something special that you want to tell us, please do so here.
Translator or Interpreter Section Do you do simultaneous translation where 2 or more interpreters translate/interpret at once? Choose One None - we only interpret or translate directly with the client 25% or less - use of simultaneous translation or interpretation 26% - 49% use of simultaneous translation or interpretation 50% or more - use of simultaneous translation or interpretation
Do you do any translating for medical professionals? Choose One No Yes
What types of clients do you service?
Carriers have different rules about the types of clients you service, so this help us with the quoting process.
Do you do work for a translating agency that sends you clients to translate/interpret? CHOOSE ONE No Yes
Which agencies give you assignments?
We can create a certificate of insurance, if you need.
Thrift Store or Consigment Store Section Do you sell motorcycles, automobiles, children’s car seats, bunk beds, children’s, cribs, firearms or ammunition. CHOOSE ONE No Yes
n most cases, if you sell any of these items, there will be a products exclusion added to your policy. More information will be available once your quote is completed.
Do any of the following apply to your business? (Check as many as you need) Athletics Section Please Check All that Apply How many students do you have ages 0-12?
How many students do you have ages 13-15?
How many students do you have ages 16-17?
How many students do you have ages 18+ (adults)?
Choose all sports that apply Mobile Home Park Questions How many spaces do you have at your park?
Do you own any of the homes and rent them to tenants? CHOOSE ONE No Yes - 24% or less of the spaces Yes - more than 25% of the spaces
Do you have a fence, gate, or wall around your park? CHOOSE ONE No Yes - but with no controlled access (like an electric gate or guard) Yes - with a guard or electric gate
Do you allow motor homes or short-term rentals? CHOOSE ONE No Yes
E-Cig and Vaping Section How do you get your products? CHOOSE ONE I buy them from a US distributor I directly import them from a foreign country I manufacture them
Tell us if any of these appy to you. Tell us more about your business - check all that apply Are you looking for products liability? CHOOSE ONE Yes - I want to purchase products liability coverage (for example, coverage for an e-cig exploding) No - I want general liability (slip and fall-type polic) with a products liability exclusion to save money I want to see the difference in price
Field Inspector Section Do you do property preservation work too? CHOOSE ONE No Yes - we do occupancy lawn care, trash outs, or winterizing of vacant homes
Description of Field Inspection Work
Please tell us what you do, such as occupancy checks, photographing homes, or something else.
Drone Business Section Describe Your Business CHOOSE ONE I/We manufacture drones for other people I/We design drones only but don't manufacture I/we design AND manufacture drones
What is the usage of the drones that you design? (personal, commercial, government) Provide Details*
Janitorial and Property Preservation Section Do you do any of the following: Aircraft service or maintenance, Building construction or renovation and other contracting operations including construction site clean up, Building security or guard services, Chimney cleaning, Elevator maintenance Exterior window cleaning higher than one story not involving ground level cleaning with an extension pole Greater than 25% fire, water, smoke flood or other disaster restoration service operations, CHOOSE ONE Yes No
Are you or your firm currently involved in, or in the next 12 months, plan to be involved in any of the following: Auto repossession, Construction services, Eviction services, Handling/removing hazardous waste, Key for money services, Mold Remediation, Mortgage brokering, Real Estate appraisal, Storm proofing services CHOOSE ONE Yes No
Do you do any roof repair? CHOOSE ONE No - I neither repair nor tarp roofs Yes - I repair and tarp roofs Yes - but I only place tarps on roofs
Do you do any mold remediation work? CHOOSE ONE No Yes
Do you do work at or on homes valued at over $1,000,000? CHOOSE ONE No Yes
Are you also a mortgage field inspector? CHOOSE ONE No Yes - we do occupancy inspections or mortgage field inspecting
Petting Zoo, Animal Show Groomer, Kennel, Trainer, or Pet Sitter Questions Choose all that apply to your business Do you train any animals? What types of animals do you train? Breeding - Do you BREED any animals?* What animals do you breed? To whom do you sell them?
Beauty Insurance Questions Do you provide any services other than cutting hair, styling/dyeing/drying hair, facial/eyebrow waxing (not body), manicures, or pedicures?* CHOOSE ONE No - I only perform these services Yes - I perform other services
Please Check the Boxes for All the Services You Offer What other services do you provide? Please list all services.
How many FULL time beauty professionals do you have?
How many PART TIME beauty professionals do you have?
Manufacturer Section Where are your products manufactured? CHOOSE ONE 100% in the United States I import parts from foreign countries, but I manufacture everything I manufacture some some items in the USA and some out of the country The process starts in another country, but the product is completed in the USA
Have you ever had a product recalled? CHOOSE ONE No - never Yes No, but I'm worried that I might soon
What do you manufacture?
Give us some specifics or examples of what you make.
Animal Industry Questions Do you offer pony rides? CHOOSE ONE No Yes - they are hand led Yes - they are machine let
Are there any venomous creatures involved in your show? CHOOSE ONE No Yes - snakes Yes - insects Yes - insects and snakes
Can people touch the animals or other creatures at your show? CHOOSE ONE No Yes Yes - but not the venomous ones
Do you have hand washing stations?* CHOOSE ONE No Yes - I have mobile hand sanitizer stations Yes - we have bathrooms
Do you have any big cats as part of your show? CHOOSE ONE No Yes - lions, tigers, panthers, or serval cats Yes - OTHER than lions, tigers, or panthers
List all of the animals / reptiles that are present at your zoo or show or that you use as part of your business*
Tell us if you offer any additional activities as part of your business? Manufactured Home Dealer Section Do you sell new and used manufactured homes? New only Used only New and used
Do you want coverage for physical damage to the manufactured homes on your lot? No Yes
Mobile Home Park, RV Park, or Camp Ground Section Do you have longer-term renters at your lot? No Yes - some people stay 3 months or more Yes - some people stay 6 months or more Yes - some people stay 12 months or more
Do you own any units at the park that you rent out? No Yes - but less than 50% of the spaces in the lot Yes - but MORE than 50% of the spaces in the lot
Do you have hookups for gas, water, or electric? No Yes
Do you have a playground, swimming pool, or club house? What security measures do you have? Trucking Section What types of products do you haul?*
What is your travel radius in miles (how many miles do you travel from your main location)?*
Do you travel outside of the state?* CHOOSE ONE No Yes
Do you haul anything to a dump site (like a garbage dump)?* CHOOSE ONE No Yes
Do you have general liability insurance? ** DISCOUNT may be available* CHOOSE ONE No - but I want a quote No - and I do no want a quote Yes
Professional Liability (Errors and Omissions / E&O) Questions Does the person to be insured have knowledge or information of any act, error or omission which might reasonably be expected to give rise to a claim against him/her? No Yes
We are asking if you know of anything that may result in a claim. For example, has someone threatened to sue you?
Within the past 5 years, have any claims been made or legal action brought against the firm, its predecessor(s), or any past or present principals, partners, insurance managers, or employees? No Yes
We are asking if you have ever had a claim.
Online Business Questions Please provide a detailed description of the products that you sell or the services that you offer online*
Do you have a physical location?* No, we only sell online Yes, we have a warehouse, but not a place that customers can visit We have a location customers can visit (warehouse or a store)
Virtual Reality Section Please provide a complete description of your business and how you use virtual reality in your business*
Inland Marine | Contractors Equipment | Insurance for Specific Items What do you want to insurance? Please provide a description, the value of each item, and the year of manufacture (if known)*
Example: 2015 John Deere F450 Tractor $25000
School Insurance Section How many students are enrolled in your school each month?
How many teachers or instructors do you have?*
Do you run a background check on all of your instructors? Yes No No - but I will start to run one to purchase a policy
Special Event How many guests will visit your special event - estimate is acceptable?*
Will any famous performers be present? Please provide a list.
Pedal Crawler and Bike Tour Section Are you seeking any of these coverages? • How many units will be run over the next 12 months 1 2 3 4 5 6 7 8 9 10+
Pressure Washing or Hood, Duct, or Kitchen Exhaust Cleaning How many active owners do you have that actually perform your service? This does not included clerical or secretarial owners.* 1 2 3 4 5 6 7 8 9 10 More than 10
What is your annual payroll to your employees (not the owners)?*
What is your payroll to sub-contractors or sub costs?*
Many insurance carriers use your subcontractor costs to determine a price. Please use your best estimate. If you use no sub contractors, write "0" (zero).
Do you do any work in Colorado or in the following counties of New York: Bronx, Kings, Nassau, New York, Queens, Richmond, Suffolk and Westchester.* NO Yes
Do you only clean restaurant hoods and ducts?* No YES
Do you do any work in work in airports, government or military institutions, hospitals, nursing homes, detention or correctional facilities.* NO Yes
Do you have any certifications or have you completed any programs for hood or duct cleaning? Contractor and Installation Business Questions What is your payroll to sub-contractors or sub costs?*
Many insurance carriers use your subcontractor costs to determine a price. Please use your best estimate. If you use no sub contractors, write "0" (zero).
What is your annual payroll to your employees (not the owners)?*
The last questions - finish your quote By clicking the "Submit” button, I consent to receive autodialed and/or pre-recorded telemarketing calls and/or text messages from Stratum Insurance Agency and its representatives in order to provide me with insurance quotes and other products or services at the telephone number I provided. I also consent to the Stratum Insurance Agency LLC Privacy Policy and Terms of Use. I understand that I may receive a call even if my telephone number is listed on a Do Not Call list and that my consent is not a requirement of purchase. We may send you a text message to let you know that your quote is ready.
Do you use drones in your business?* NO Yes - and I want coverage for liability resulting from drone usage Yes - but I DO NOT WANT any coverage for damage to the drones, nor for the liability that results from them
Only some carriers allow this, so we will work to find one that does.
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