Quotes--Business Insurance

We would welcome the opportunity to provide you with a free, no obligation price quote to insure your business. As an independent agent, we are able to compare a number of different insurance providers to make sure you receive the best price and the right amount of insurance for your budget and your organization's needs.


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General Information

Contact Name*
Email*
Business Name
Address
City
State
ZIP
County
Business Phone
Fax

Current Insurance Company (not your agent)

Company Name
Policy Expiration Date

Current Coverage

I currently have the following coverage(s) Bond
Commercial Auto
Commercial Liability
Commercial Property
Commercial Umbrella
Directors & Officers Liability
Disability
Group Health
Group Life
Professional Liability
Workers' Compensation
Other 

Business Information

Number of Full-Time Employees
Number of Part-Time Employees
How Many Years in Business?
How Many Locations?
Please give a brief description of your business and clientele

Property/Premises Information

Address
Occupancy Status Owner  Tenant
Year Built
% Occupied
Sprinklers Yes  No
Construction Type
Stories
Number of Basements
Sq. Footage
Burglar Alarm Yes  No
Building Value
Contents
Other Property (specify)

Insurance Information

Other Insurance Coverage Held
Annual Gross Sales (before taxes)
Number of Employees
Annualized Payroll
Cost of any Subcontracted Work
Limits Requested

$300,000
$500,000
$1,000,000
$2,000,000

Describe any claims you've had in the past 5 years

Additional Comments
How did you hear about us?*  

 

C. John Crane, Inc.--Your Peace of Mind is Our Business.

C. John Crane, Inc.  670 Abbott Road   Buffalo, NY 14220t:716.823.6230   f:716.824.5808   info@CJohnCrane.com