Business Insurance Quote

Name:

Address:

City:

Province:

Postal Code:

Phone:

Email:

Age of Building: < 1 year1 - 20 years20 - 35 years> 35 years

Construction of Building: FrameMasonryNon-CombustibleFire Resistive

Is the building sprinklered: —Please choose an option—YesNo

How much area do you occupy: < 5,0005,000 - 10,0000> 10,000

Are you the only tenant: —Please choose an option—YesNo

Is there a hydrant within 500 ft. (150 metres): —Please choose an option—YesNo

Has insurance ever been denied or canceled: —Please choose an option—YesNo

What type of business: RetailOfficeBuilding OwnershipWholesale OperationFarmService OperationContractorGarage OperationManufacturerOther

How many years in the business: < 1 years1 - 5 years> 5 years

Have there been any insurance claims in the last 3 years: No<= 2>= 3

What are the annual receipts: Up to $50,000$51,000 to $100,000$101,000 to $500,000$501,000 to $1,000,000Over $1,000,000

What is the annual payroll: Up to $50,000$51,000 to $100,000$101,000 to $500,000$501,000 to $1,000,000Over $1,000,000