Business Insurance Quote Name Email Address Address City Province Postal Code Phone Number Age of Building: < 1 year1 - 20 years20 - 35 years> 35 years Construction of building: FrameMasonryNon-CombustibleFire Resistive Is the building sprinklered: YesNo How much area do you occupy: < 5,0005,000 - 10,000> 10,000 Are you the only tenant: YesNo Is there a hydrant within 500 ft. (150 metres): YesNo Is there a fire hall within 3 miles (5 kms): YesNo Has insurance ever been denied or canceled: YesNo What type of business: RetailOfficeBuilding OwnershipWholesale OperationFarmService OperationContractorGarage OperationManufacturerOther How many years in the business: < 1 year1 - 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
