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Business Insurance Quote Request
Business Insurance Quote Request:
Personal Insurance Quote Requests:
Auto Insurance
Home Insurance
Boat Insurance
Recreational Vehicle Insurance
Travel Trailer Insurance
Motorcycle Insurance
Business Insurance
Name:
Address:
City:
Province:
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Postal Code:
Phone Number:
Email Address:
Age of building:
< 1 year
1 - 20 years
20 - 35 years
> 35 years
Construction of building:
Frame
Masonry
Non-Combustible
Fire Resistive
Is the building sprinklered?
Yes
No
How much area do you occupy?
< 5,000
5,000 - 10,000
> 10,000
Are you the only tenant?
Yes
No
Is there a hydrant within 500 ft. (150 meters)?
Yes
No
Is there a fire hall within 3 miles (5Kms)?
Yes
No
Has insurance ever been denied or cancelled?
Yes
No
What type of business?
Retail
Office
Building ownership
Wholesale operation
Farm
Service operation
Contractor
Garage operation
Manufacturer
Other
How many years in the business?
< 1 year
1 - 5 years
> 5 years
Has 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 $1,000,000
Over $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 $1,000,000
Over $1,000,000
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