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Professional Liability Insurance Quote |
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General Liability |
Professional Liability |
Surety Bonds |
| Commercial General liability
insurance is important to protect your business against claims
that results from bodily injury and property damage. Many
coverages are often included in the general liability policy,
including business interruption, personal and advertising
injury, products coverage, and more. Property and
equipment coverage is also available. |
Professional Liability insurance, also known as E&O
Insurance, is crucial for protection against claims resulting from
negligence, errors and omissions, and more. Policies vary,
so confirm specific coverages with your agent.
We are able
to quote professional liability insurance for over 250 industries. |
We can assist with many types of surety
bonds, including business services bonds and janitorial bonds.
After you complete the form below, click submit and then
click choose surety bonds on the thank you page, to request a
quote. |
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Professional Liability
and/or General Liability Insurance Quote Request |
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ABOUT THE OWNER / PRINCIPAL |
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ABOUT THE BUSINESS |
| Name
of Business: |
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| Type of Business: |
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| Description of Business: |
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| Year Started: |
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Years experience in industry:
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| Tax ID # |
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PROFESSIONAL LIABILITY SECTION |
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Professional Liability Limits: |
$
($250,000 will be quoted if nothing is entered) |
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| Full Time Employees: |
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Part-Time: |
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Number of Partners/Execs: |
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What
types of clients do you service: |
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| Do you belong to
any professional associations? |
(if known) |
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Gross Receipts: |
Prior Year $
(if new business, write NEW and estimate an amount) |
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Current
Year $
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Estimates for Next
Year $
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| Annual Payroll: |
$
(if none, write "none") |
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| Claims: |
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| Other: |
Do your customers sign a
contract or written agreement
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COMMERCIAL GENERAL LIABILITY SECTION - OPTIONAL |
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General Liability Limits: |
$
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| Smoke Detectors: |
Sprinklers:
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Space Occupied (sq feet):
(location 1) |
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Total building space (sq feet):
(location 1) |
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Stories (location 1): |
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Year Building Built:
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Building Security System?
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Do you currently have insurance (if
yes, with what carrier?
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Current Premium:
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Do you have any other information
about your business, or comments that you would like to
share? Please place special requests here, such as extra coverage
for special items. |
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NO COVERAGE IS BOUND,
OFFERED, ISSUED THROUGH THIS ELECTRONIC COMMUNICATION, ALL POLICIES MUST BE
UNDERWRITTEN AND APPROVED BY THE CARRIER. DO NOT CANCEL YOUR CURRENT
INSURANCE. |
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Copyright 2010 Stratum
Insurance Agency, LLC |
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BUSINESS
INSURANCE
- Professional Liability
Insurance
- General Liability Insurance
- Workers Compensation
- Commercial Auto Insurance (contact
us)
-
Surety Bonds (not insurance)
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Need help?
(949) 270-0609
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Why choose us
as your insurance broker?
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If you
have more than one LOCATION, please tell us about the second location in the
additional information section. |
We will use the basic
information that you provide us and then contact you if we have questions.
Quotes generally take from 24-48 hours, but if you need something today,
please call after submitting your request.

Need help?
(949) 270-0609
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