The Small Business Insurance Department

 
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Need help?

(949) 270-0609

 

 

 

 

 

Types of Commercial Insurance

General Liability
Professional Liability
Surety Bonds
Crime Insurance
EPLI
Directors & Officers
Workers Comp
Cyber Liability

 

 

 

 

 

 

Include the type of item to be insured, the year, and the value. 

Example:

- 2005 Tractor $12000

- 2003 Food Cart $5000

 

 

 

 

 

 

Need help?

(949) 270-0609

(352) 404-4445

 

 

 

 

Equipment Insurance & Inland Marine Insurance Quote Request

ABOUT THE OWNER / PRINCIPAL

Company Name:
First Name:
Last Name:
Address:
City:
State:
Phone:
Zip Code:
E-mail:
Confirm E-mail:

ABOUT THE BUSINESS

   
Location:
   
Business Structure
   
Description of Business:
Year Started:    We welcome New Businesses.  
Years experience in industry:     
Tax ID #  
   

PROPERTY INSURANCE - Choose what you need

   
  Use this section to tell us about the equipment that you want insured.  Please describe it and provide the value. It also helps if you have the year, make, and model.
   
Tracking devices on the equipment?
   
Item # 1
   
Item # 2
   
Item # 3
   
Item # 3
   
Small Tools to be insured? $ (small tools and equipment valued at less than $1000 a piece)
   
Signs: $  (this may include attached or detached signs from your building)
   
Tenant Improvements
(Renters)
$ Do you need coverage for the building itself? Enter the amount of coverage here.
   
*** Do you currently have insurance (if yes, with which carrier)? 
  Current Premium: $    (this helps us compare rates) 
   
   
  Where do you keep your items when they are not in use?

   
  Do you have any other information about your business, equipment, or comments that you would like to share? Please place special requests here, such as extra coverage for special items.