Business Owners Insurance Quote

Step 1 of 4

25%

Your Full Name(Required)

First Last

Business Entity is(Required)

How many LLC Members are there?(Required)

How many owners are there?(Required)

Full Legal Business Name(Required)

If there are an Inc, Corp, LLC, LTD... please include those.

Do you have any DBA's?(Required)

Yes

What DBA(s) does your company use?(Required)

Email(Required)

Don't worry, we won't spam you.

Phone Number(Required)

Don't worry, we won't call you unless we need to.

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

What date was your business established?(Required)

MM slash DD slash YYYY

Website

Please provide a DETAILED description of what your operation does(Required)

How many Locations Does your business have?

If you have more than 8 locations please stop and call us at 212-360-2334

Location 1 Information

Location 1 Address(Required)

Street Address Address Line 2 City State ZIP Code

Description of Location 1(Required)

Office, Warehouse, Manufacturing, Retail?

How many employees do you have at this location?(Required)

What is your annual projected revenue at this location?(Required)

Enter 0 (zero) if none.

Do you own or rent this location?(Required)

Own

Rent

What is the construction of this building(Required)

Frame (wood)

Joisted Masonry (Frame with wood floors)

Masonry (Concrete, brick, or block)

Masonry Veneer (Frame with masonry exterior)

Metal

Year Built?(Required)

Please enter a number from 1800 to 2050.

Square Feet You Occupy(Required)

Please enter a number from 1 to 1000000.

What floor/floors are you located on?(Required)

What Safety/Security is at this location(Required)

None

Local Fire Alarm

Central Station Monitored Fire Alarm

Local Burglar Alarm

Central Station Monitored Burglar Alarm

Smoke Detectors

Fire Extinguishers

Sprinkler System

Temperature Alarm

Security Cameras Interior

Security Cameras Exterior

Business Property Coverage

The cost needed to replace your property at this location, aside from your inventory.

Improvements Coverage

The cost needed to buildout the interior of this location

Inventory Coverage

The cost needed to replace inventory kept at this location

Business Income Coveage

Coverage to cover lost revenue in the event that this location is damaged or destroyed

Does your lease agreement require you to insure this building?

When we say "insure this building" we mean the structure, we are not referring to liability insurance here.

Yes

Building Coverage

The cost needed to rebuild your building

Location 2 Information

Location 2 Address(Required)

Street Address Address Line 2 City State ZIP Code

Description of Location 2(Required)

Office, Warehouse, Manufacturing, Retail?

How many employees do you have at this location?(Required)

What is your annual projected revenue at this location?(Required)

Enter 0 (zero) if none.

Do you own or rent this location?(Required)

Own

Rent

What is the construction of this building

Frame (wood)

Joisted Masonry (Frame with wood floors)

Masonry (Concrete, brick, or block)

Masonry Veneer (Frame with masonry exterior)

Metal

Year Built?(Required)

Please enter a number from 1800 to 2050.

Square Feet You Occupy(Required)

Please enter a number from 1 to 1000000.

What floor/floors are you located on?(Required)

What Safety/Security is at this location(Required)

None

Local Fire Alarm

Central Station Monitored Fire Alarm

Local Burglar Alarm

Central Station Monitored Burglar Alarm

Smoke Detectors

Fire Extinguishers

Sprinkler System

Temperature Alarm

Security Cameras Interior

Security Cameras Exterior

Building Coverage

The cost needed to rebuild your building

Business Property Coverage

The cost needed to replace your property at this location, aside from your inventory.

Improvements Coverage

The cost needed to buildout the interior of this location

Inventory Coverage

The cost needed to replace inventory kept at this location

Business Income Coveage

Coverage to cover lost revenue in the event that this location is damaged or destroyed

Location 3 Information

Location 3 Address(Required)

Street Address Address Line 2 City State ZIP Code

Description of Location 3(Required)

Office, Warehouse, Manufacturing, Retail?

How many employees do you have at this location?(Required)

What is your annual projected revenue at this location?(Required)

Enter 0 (zero) if none.

Do you own or rent this location?(Required)

Own

Rent

What is the construction of this building

Frame (wood)

Joisted Masonry (Frame with wood floors)

Masonry (Concrete, brick, or block)

Masonry Veneer (Frame with masonry exterior)

Metal

Year Built?(Required)

Please enter a number from 1800 to 2050.

Square Feet You Occupy(Required)

Please enter a number from 1 to 1000000.

What floor/floors are you located on?(Required)

What Safety/Security is at this location(Required)

None

Local Fire Alarm

Central Station Monitored Fire Alarm

Local Burglar Alarm

Central Station Monitored Burglar Alarm

Smoke Detectors

Fire Extinguishers

Sprinkler System

Temperature Alarm

Security Cameras Interior

Security Cameras Exterior

Building Coverage

The cost needed to rebuild your building

Business Property Coverage

The cost needed to replace your property at this location, aside from your inventory.

Improvements Coverage

The cost needed to buildout the interior of this location

Inventory Coverage

The cost needed to replace inventory kept at this location

Business Income Coveage

Coverage to cover lost revenue in the event that this location is damaged or destroyed

Location 4 Information

Location 4 Address(Required)

Street Address Address Line 2 City State ZIP Code

Description of Location 4(Required)

Office, Warehouse, Manufacturing, Retail?

How many employees do you have at this location?(Required)

What is your annual projected revenue at this location?(Required)

Enter 0 (zero) if none.

Do you own or rent this location?(Required)

Own

Rent

What is the construction of this building

Frame (wood)

Joisted Masonry (Frame with wood floors)

Masonry (Concrete, brick, or block)

Masonry Veneer (Frame with masonry exterior)

Metal

Year Built?(Required)

Please enter a number from 1800 to 2050.

Square Feet You Occupy(Required)

Please enter a number from 1 to 1000000.

What floor/floors are you located on?(Required)

What Safety/Security is at this location(Required)

None

Local Fire Alarm

Central Station Monitored Fire Alarm

Local Burglar Alarm

Central Station Monitored Burglar Alarm

Smoke Detectors

Fire Extinguishers

Sprinkler System

Temperature Alarm

Security Cameras Interior

Security Cameras Exterior

Building Coverage

The cost needed to rebuild your building

Business Property Coverage

The cost needed to replace your property at this location, aside from your inventory.

Improvements Coverage

The cost needed to buildout the interior of this location

Inventory Coverage

The cost needed to replace inventory kept at this location

Business Income Coveage

Coverage to cover lost revenue in the event that this location is damaged or destroyed

Location 5 Information

Location 5 Address(Required)

Street Address Address Line 2 City State ZIP Code

Description of Location 5(Required)

Office, Warehouse, Manufacturing, Retail?

How many employees do you have at this location?(Required)

What is your annual projected revenue at this location?(Required)

Enter 0 (zero) if none.

Do you own or rent this location?(Required)

Own

Rent

What is the construction of this building

Frame (wood)

Joisted Masonry (Frame with wood floors)

Masonry (Concrete, brick, or block)

Masonry Veneer (Frame with masonry exterior)

Metal

Year Built?(Required)

Please enter a number from 1800 to 2050.

Square Feet You Occupy(Required)

Please enter a number from 1 to 1000000.

What floor/floors are you located on?(Required)

What Safety/Security is at this location(Required)

None

Local Fire Alarm

Central Station Monitored Fire Alarm

Local Burglar Alarm

Central Station Monitored Burglar Alarm

Smoke Detectors

Fire Extinguishers

Sprinkler System

Temperature Alarm

Security Cameras Interior

Security Cameras Exterior

Building Coverage

The cost needed to rebuild your building

Business Property Coverage

The cost needed to replace your property at this location, aside from your inventory.

Improvements Coverage

The cost needed to buildout the interior of this location

Inventory Coverage

The cost needed to replace inventory kept at this location

Business Income Coveage

Coverage to cover lost revenue in the event that this location is damaged or destroyed

Location 6 Information

Location 6 Address(Required)

Street Address Address Line 2 City State ZIP Code

Description of Location 6(Required)

Office, Warehouse, Manufacturing, Retail?

How many employees do you have at this location?(Required)

What is your annual projected revenue at this location?(Required)

Enter 0 (zero) if none.

Do you own or rent this location?(Required)

Own

Rent

What is the construction of this building

Frame (wood)

Joisted Masonry (Frame with wood floors)

Masonry (Concrete, brick, or block)

Masonry Veneer (Frame with masonry exterior)

Metal

Year Built?(Required)

Please enter a number from 1800 to 2050.

Square Feet You Occupy(Required)

Please enter a number from 1 to 1000000.

What floor/floors are you located on?(Required)

What Safety/Security is at this location(Required)

None

Local Fire Alarm

Central Station Monitored Fire Alarm

Local Burglar Alarm

Central Station Monitored Burglar Alarm

Smoke Detectors

Fire Extinguishers

Sprinkler System

Temperature Alarm

Security Cameras Interior

Security Cameras Exterior

Building Coverage

The cost needed to rebuild your building

Business Property Coverage

The cost needed to replace your property at this location, aside from your inventory.

Improvements Coverage

The cost needed to buildout the interior of this location

Inventory Coverage

The cost needed to replace inventory kept at this location

Business Income Coveage

Coverage to cover lost revenue in the event that this location is damaged or destroyed

Location 7 Information

Location 7 Address(Required)

Street Address Address Line 2 City State ZIP Code

Description of Location 7(Required)

Office, Warehouse, Manufacturing, Retail?

How many employees do you have at this location?(Required)

What is your annual projected revenue at this location?(Required)

Enter 0 (zero) if none.

Do you own or rent this location?(Required)

Own

Rent

What is the construction of this building

Frame (wood)

Joisted Masonry (Frame with wood floors)

Masonry (Concrete, brick, or block)

Masonry Veneer (Frame with masonry exterior)

Metal

Year Built?(Required)

Please enter a number from 1800 to 2050.

Square Feet You Occupy(Required)

Please enter a number from 1 to 1000000.

What floor/floors are you located on?(Required)

What Safety/Security is at this location(Required)

None

Local Fire Alarm

Central Station Monitored Fire Alarm

Local Burglar Alarm

Central Station Monitored Burglar Alarm

Smoke Detectors

Fire Extinguishers

Sprinkler System

Temperature Alarm

Security Cameras Interior

Security Cameras Exterior

Building Coverage

The cost needed to rebuild your building

Business Property Coverage

The cost needed to replace your property at this location, aside from your inventory.

Improvements Coverage

The cost needed to buildout the interior of this location

Inventory Coverage

The cost needed to replace inventory kept at this location

Business Income Coveage

Coverage to cover lost revenue in the event that this location is damaged or destroyed

Location 8 Information

Location 8 Address(Required)

Street Address Address Line 2 City State ZIP Code

Description of Location 8(Required)

Office, Warehouse, Manufacturing, Retail?

How many employees do you have at this location?(Required)

What is your annual projected revenue at this location?(Required)

Enter 0 (zero) if none.

Do you own or rent this location?(Required)

Own

Rent

What is the construction of this building

Frame (wood)

Joisted Masonry (Frame with wood floors)

Masonry (Concrete, brick, or block)

Masonry Veneer (Frame with masonry exterior)

Metal

Year Built?(Required)

Please enter a number from 1800 to 2050.

Square Feet You Occupy(Required)

Please enter a number from 1 to 1000000.

What floor/floors are you located on?(Required)

What Safety/Security is at this location(Required)

None

Local Fire Alarm

Central Station Monitored Fire Alarm

Local Burglar Alarm

Central Station Monitored Burglar Alarm

Smoke Detectors

Fire Extinguishers

Sprinkler System

Temperature Alarm

Security Cameras Interior

Security Cameras Exterior

Building Coverage

The cost needed to rebuild your building

Business Property Coverage

The cost needed to replace your property at this location, aside from your inventory.

Improvements Coverage

The cost needed to buildout the interior of this location

Inventory Coverage

The cost needed to replace inventory kept at this location

Business Income Coveage

Coverage to cover lost revenue in the event that this location is damaged or destroyed

How much liability coverage do you need?(Required)

None

$300,000

$500,000

$1,000,000

$2,000,000

Current Insurance Information

Are you currently or previously insured(Required)

Current or Prior Carrier (if any)(Required)

Enter your insurance company, not broker or agent.

Current or Prior insurance expiration date(Required)

When does or did your current policy end?

MM slash DD slash YYYY

Current or prior ANNUAL insurance premium(Required)

Enter your annual premium, not monthly payment.

Finance Information

Ever filed Bankruptcy or Reorganization(Required)

Yes

Has coverage been Declined, canceled or non-renewed in last 5 years

Yes

If so, why?(Required)

Final Details

How soon do you need this quote(Required)

Date quote needed by(Required)

MM slash DD slash YYYY

What date do you need this coverage by?(Required)

MM slash DD slash YYYY

How did you hear about us?

If you were referred, who can we thank with a nice gift?

What other coverages are you interested in?(Required)

None

Directors & Officers

Disability

Employment Practices Liability

Group Health

Umbrella Liability

If you have specific insurance requirements you need to satisfy, please upload them here.

Drop files here or

Accepted file types: jpg, gif, png, pdf, tif, Max. file size: 12 MB, Max. files: 10.

Attachments

Please feel free to attach any files that might be useful in rating your coverages... Prior or current policies, loss runs, claims, photos of puppies, pictures your kids drew in kindergarten...

Drop files here or

Accepted file types: jpg, gif, png, pdf, tif, Max. file size: 12 MB, Max. files: 10.

Other things I want to tell you that you didn't ask. Additional comments, concerns, circumstances, or coverages you have/want.

Which other coverages are you interested in or are required to have?

These are important, so don't take them lightly. If you have requirement you may need to satisfy, please take a look and make sure.

Cyber Liability/Data Breach(Required)

Can provide coverage for data breaches, network attacks, cyber fraud, ransomware, social engineering, attack & extortion. Over 50% of small business owners are victims annually, and the average breach can cost upwards of $200 per compromised record, so a breach of as few as 500 clients can cost $100,000.

Yes

Directors & Officers(Required)

insures directors and officers of privately held companies against claims alleging mismanagement of the firm. You may, and should be required to maintain this coverage if you are dealing with outside investors.

Yes

Domestic & International Cargo(Required)

This is not included with product liability. This coverage can provide insurance for your inventory from origin to destination. While in transit internationally, domestically as well as while in 3rd party logistic centers & warehouses. If your inventory is at a 3PL or 3rd party warehouse, they are NOT insuring it for you.

Yes

Employment Practices Liability(Required)

EPLI, or Employment Practices Liability Insurance covers businesses and business owners against claims by workers, employees or ex-employees that their legal rights as employees have been violated. This can include harassment, wrongful termination, discrimination, wage & hour, breach of an employment contract, and even 3rd party claims like the American Disability Act.

Yes

Workers Compensation(Required)

Workers Compensation is a state mandated coverage that provides no-fault insurance for your employees. Which means that it will pay regardless of fault for employee injuries while on the job. In essence if an employee in injured while performing a work related duty, then Workers Compensation insurance will pay a portion of that employees salary for a specified period of time as well as medical bills. If you have an employee that is injured while on the job, your company will be held liable for these costs.

Yes

Liquor Liability(Required)

Liquor liability insurance helps protect a business that sells, serves, or distributes alcohol. This type of business insurance can help cover claims of bodily injury or property damage that an intoxicated person causes after a company served them alcohol.

Yes

Business Income Coverage

How much Business Income coverage would you like?(Required)

This should be enough to cover any and all lost income in the event your business location is damaged or destroyed. So if it would take you 6 months to be up and running after your place of business is destroyed, then this number should be at least 1/2 of your annual gross sales.

Cyber Liability / Data Breach

What Cyber Liability / Data Breach Limit would you like?(Required)

How many individual personal records does your company store?(Required)

0-999

1,000-4,999

5,000-9,999

10,000-49,999

50,000-999,999

1,000,000 or more

Indicate what safeguards you have in place:(Required)

None

Mobile Device Encryption

Network Data Encryption

Compliance with Payment Card Industry Data Security Standards

Up-to-date, active firewall technology

Up-to-date, active anti-virus software on all computers, networks, and mobile devices

A process in place to regularly download and install patches

Backup and recovery procedures in place for all important data

An incident response plan to respond to a network intrusion

A disaster recovery plan, business continuity plan, or equivalent to respond to a computer

system disruption

Controls to ensure the content of media communications and websites are lawful

Multi-factor authentication for remote access to sensitive data

Employment Practices Liability

How many employees do you have?(Required)

What is your annual employee turnover?(Required)

Have you had any layoffs in the last 12 months?(Required)

How may layoffs have you had in the last 12 months?(Required)

Do you have any reason to believe that there is a pending employment practices claim that may arise?(Required)

If so, please provide details as to the nature of this claim.(Required)

Workers Compensation

What is your Federal Tax ID# (FEIN)

If you don't have it handy just say so, we'll send you an email requesting it.

Payroll & Classifications(Required)

Add additional lines for each state & job class

Classification

Location State

Street Address

Annual Payroll

# of Employees

Domestic & International Cargo

What commodities are you transporting?(Required)

List the Countries and Annual Values Shipped(Required)

Add a new line for each commodity & conveyence

Country Shipped From

Country Shipped To

Commodity Shipped

Annual Values Shipped

What is the MAXIMUM value per any single international shipment

None

$50,000

$100,000

$250,000

$500,000

$1,000,000

Other

How are your international shipments made

Air

Vessel

What is the MAXIMUM value per any single domestic shipment

None

$50,000

$100,000

$250,000

$500,000

$1,000,000

Other

How are your domestic shipments made

Air

Truck

Railroad

Are you shipping to or from any of the following?(Required)

Afghanistan, Cuba, Iran, Iraq, Jordan, Kenya, Lebanon, Libya, Nigeria, North Korea, Pakistan, Republic of Yemen, Somalia, Sudan, Syria, Russia, the Commonwealth of Independent States (C.I.S.) and countries that formerly comprised the U.S.S.R.

Liquor Liability

Liquor Liability Limit(Required)

None

$100,000

$250,000

$300,000

$500,000

$1,000,000

$2,000,000

$3,000,000

$4,000,000

$5,000,000