Commercial Property Quote

Business Name*:

Contact Name*:

Phone #*:

Email Address*:

Property Address*:

City*:

State*:

Zip*:

IndividualCorporationS-CorpLLC

Referred By:

Tax ID #*:

# of Officers*:

Description of Business*:

Years in Business*:

# of Losses(if applicable)*:

% Residential*:

% Commercial*:

% Sub Contracted*:

# of Employees*:

Total Annual Revenues*:

Office Space*: OwnRent

Bldg Coverage Needed ($)*:

Amount of Contents Requested ($):*

Building Square Ft.*:

Alarm: YesNo

Amount of General Liability: $500,000$1 MillionOther

Other:

Age of Building*:

How Many Stories High is the Building*:

Construction Type (select):

Wiring Improvements (What Year Were Improvements Made?)*:

Roofing Improvements (What Year Were Improvements Made?)*:

Plumbing Improvements (What Year Were Improvements Made?)*:

Heating Improvements (What Year Were Improvements Made?)*:

COMMERCIAL PROPERTY QUOTE