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Office Policy

Office
The office policy, also called the business owners policy, can be use to provide building coverage, contents coverage, and liability in one policy. We have many clients with this type of policy such as doctor offices, veterinarians, hearing aid stores, bridal shops, ect. We can write most office types and retail stores. Some office types will require a separate policy for professional liability coverage.

Serving Bradenton, Manatee, Sarasota, Hillsborough, and all counties in Florida for Office Insurance.

* = required field

Business Information

 

Business Name:
Type of Organization:
Is there a dba? If so, dba name?
Mailing Street Address:
City:
Zip Code:
Phone Number: ()   -
Fax Number: ()  -
Email Address:
Website:
Contact person name:
If business location is different than mailing address, please indicate business address:
 

Prior Insurance

Do you have insurance now?:
If yes, name of current company?:
Expiration date of current policy:
How many years in business?:
How many years in this field:
Any claims? If so please indicate date and type of claim if unknown:
Is current insurance being cancelled? If yes, the reason:
 

About The Business

What services do you offer or type of products do you sell?:
Total Yearly Gross Revenue:
 

About the building

Type:
Square feet of your space?: (Sq. Ft)
Year building built: YYYY
Construction type of building:
Sprinklers built into building:
Do you have alarm system?:
If yes, type of alarms:
Is your space a commercial condo unit?:
If yes, is there a condo association that covers the building?:
Is this business located in a residence or home?
Any existing damage?
 

Coverages

Select liability coverage:
How much coverage on the structure?: (If none, type in 'none')
How much coverage for contents?:
If tenant only, how much coverage for improvements?
(Examples of improvements are carpet fixtures, counter area, inside drywall etc.)
Value of outdoor sign?:
 
Additional Questions
 
Do you have workers compensation insurance?:
Do you have separate policy for professional liability?:
Do you do any delivery or transporting of people?:
If yes, please describe use:
Do you own any other businesses or properties under the same name? If yes, please describe other business or properties:
Do you use any subcontractor in your business?:
If yes, please describe type of subcontractor used and for what?

Remarks or additional comments