You may get a premium quotation on line for all your Personal and Business insurance needs, such as: Auto, Homeowners, Renters, Condo Units, Individual Health, Group Health, Short Term Health, International Health, and Life Insurance - Businessowners Insurance, General Liability Insurance Workers Compensation Insurance for Offices, Retail and Wholesale Stores, Service Businesses, Manufacturers, Contractors and much more.

All Personal and Commercial Insurance Programs can be custom tailored to fit your individual and business specific needs.

Businessowners Policy Quote

For a quick and competitive quote for your Businessowners Insurance Policy, please, complete the following information. Please be as specific as possible.
Primary location must be in the states of Illinois, Wisconsin and Nevada.

If you have more than one locations, please click here

General Information
Business name:
Contact name: *
Address: *
City:*
State: *
Zip code: *
County: *
Phone: *
Fax:
E-mail address:*

Business Information
Year business started: *
How many years of experience does the business owner have in your industry: *
# of business vehicles: (If applicable)
Business legal entity: *
Type of industry. If not on the list, see below: *
If you could not find your industry above, please enter it here:
Detailed nature of your business: *
Number of active owners and/or partners: *
Number of full-time employees: *
Number of part-time employees: *
Do you use sub-contractors?: *
If yes, What is the annual cost *		$
Active owners and/or partners estimated annual payroll: *		$
Employees estimated annual payroll: *		$
Business gross annual sales: *		$
Current Insurance Coverage Information
Are you currently insured? *
If yes, what company (Not Agency)
Expiration date of in-force policy:		(mm/dd/yy)
Please explain all claims, including dates and amounts paid in the past three (3) years (Write NONE if no claims) *
Expiring policy annual premium:
Renewal policy annual premium:		(If available)

Coverage Desired
Enter amount of insurance you want on your Building. (If not applicable enter NONE) *	$
Enter amount of insurance you want on your Business Personal Property Limit. (If not applicable enter NONE) *	$
Other Property Coverage you want such as: Electric Signs, Glass, Etc. (Please Describe)
Approximate amount of liability coverage desired: *
Building/Personal Property deductible desired: *
	Other Deductible Amount:

Any Additional Interest for this location such as: Mortgagee, Loss Payee, etc.	Yes No
If yes, please select the interest type - More than one choice may be made by holding down the "Ctrl" key:
Additional Interest name:
Department:
Address:
City:
State:
Zip code:
Loan Number:
Phone:
Fax:
E-mail address:

Building Information
Do you own or lease your office space: *
Maine occupancy of your building: *
Building construction *
Height of building: *
Is building sprinklered?: *
If yes, please write down percentage sprinklered:
Address *
City *
State *	Primary location must be in the state of Illinois.
Zip Code *
Country *
Total square footage of your building: *	Enter N/A if not applicable
Total square footage of your space: *	Enter N/A if not applicable
Approximate year the building was built: *	Enter N/A if not applicable
Year building was updated Enter N/A if not applicable: *	Wiring year	roofing year	plumbing year	heating year
Please check all the features that apply to your building. *It's important that you check all applicable items:*	Sprinkler system Smoke detectors Burglary alarm Security guard Fire alarm		Exterior lighting Barred windows Circuit breakers Fuses None

Effective date of coverage *		(mm/dd/yy)
Additional information:
Other coverages you are interested in
Employment Practices Liability Crime Directors and Officers Liability Professional Liability Workers Compensation		Key Man Life Key Man Disability 401K/Retirement Group Health Group Life Group Disability Other: