START YOUR QUOTE for Business Insurance About You or Your Business Name* Business Name or DBA
If you do not have a business name, just write "none"
Address Email* Phone Number - including area code
Website
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 Mobile business with no fixed location Mall - I rent a space in a mall Vending Machines Only Home-based business working only from home I rent, lease, 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
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.
Information to Get Your Quote Type of Business #1* CHOOSE ONE Bakery Insurance Boba Tea Shop Insurance Café Insurance Concessionaire Insurance Food Cart Insurance Food Distributor (wholesaler) Food Trailer Insurance Food Manufacturer Fruit Stand Grocery Store Hot Dog Cart Ice Cream Truck Jelly or Jam Manufacturer Juice Bar Kiosk Mall Cart Mobile Food Vendor Phone Kiosk Pizza Oven - Mobile Push Cart - not hot dogs Restaurant Sauce Maker Spice Maker Sushi Truck Vending Machines OTHER
Choose the types that represent your business (you may choose more than one) by selecting another on the next drop down. Please choose AT LEAST ONE business type. You can choose OTHER, if you cannot find yours here.
What are your estimated gross receipts from this part of your business?
You can estimate. If you are a new business, please write your estimate, because to obtain most quotes, an amount must inputted.
Describe your Business (if you chose OTHER, please compelte this box)
Please tell us what services you perform, OTHER THAN those listed in the drop down boxes above, if any. Use this space if you needed to tell us more information.
What types of insurance are you seeking? We make it easy by asking you the only the questions
What year did your business start?*
How many employees do you have?
You can write "none" if you have do not have any.
What is your annual payroll? ($)
If you have no payroll and only owners, please write none.
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.
Where do you operate business or vending machines? Indoors Only Outdoors Only Indoors and Outdoors
Chose your Limits of Liability General Liability CHOOSE ONE $500,000 / $1,000,000 $1,000,000 / $2,000,000 $1,000,000 / $3,000,000 $2,000,000 / $4,000,000 I need higher limits than shown here - quote me with an umbrella or excess
These numbers are written as the per occurrence limit and the aggregate limit.
Professional Liability - Errors and Omissions Insurance CHOOSE ONE $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 ($) for your business personal property?*
This includes your furniture, inventory, printers, file cabinets, etc. We'll ask you about computers in the next box.
How much coverage ($) 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)
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 and birthdate of at least 1 driver
Driving Record for Driver #1 CHOOSE ONE 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
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.
Directors and Officers Insurance Section How many VOLUNTEER board members do you have?
How many PAID board members do you have?
Information about Additional Insureds Equipment Insurance Section In this section, tell us about your mobile equipment, such as kiosks, generators, trailers, and other items.
Item #1 for Equipment Coverage
For each item, tell us what it is, the value, and the age (or year manufactured) if you know it. *Example: 2008 Simpson Food Cart $12,000. **Example 2: 5 vending machines, each worth $10,000
Item #2 for Equipment Coverage
Item #3 for Equipment Coverage
A few more questions What do you products do you sell?
How many square feet is your location?
Do you use a system to track your sales? NO - we only use a system like a cash register that does not retain customer info Yes - we use a point of sale system that gathers information to contact a customer if we need to Nothing Yet - but we can implement a system to gather customer info at the point of sale
Insurance companies ask this question in case, for example, you need to issue a recall notice to customers.
Do you have some tracking number on your products, like a lot number? NO Yes - each item we sell has a tracking number on it Yes - because we only distribute the products, we do not manufacture them Other - please provide more info in the box below
Insurance companies ask this question in case, for example, you need to issue a recall notice to customers.
Is there anything else that you want to tell us or ask us? You can list information from a contract here or anything else.
Do you want to subscribe to our small business newsletter? We do not send a lot of newsletters, but when we do, they are filled with valuable risk prevention and small business ideas.
Do you want to send us any photos of your equipment, information on a previous policy, or other information? Upload it here. We accept only these file types: jpg, gif, png, pdf, bmp
