Agent Info:
Name : Victoria Adgett
License ID : 3659421
Phone : (775) 800-9545
Email : [email protected]
Address : 3115 Knight Road, Reno, Nevada, 89509

Business Owners Policy (BOP)

  • Applicant
  • Business
  • Location Details
  • Policy
  • Loss
  • Coverage
  • Miscellaneous
  • Finish

Applicant

First Name *
Last Name *

Where should we send your quote?

Email *
Phone *

Please fill all the mandatory questions.

Business

Business Info

Business /​ Company Name *
Years in Business *
DBA (If Applicable)
FEIN # (If Applicable)
Organization Type *

Internal

Type of Business *
Specify Business *
Additional Info
Number of location/building *

Location/Building 1

Number of Units *
Location/Building Address *
City *
State *
Zip Code *
Mailing Address
Address *
City *
State *
Zip Code *
Number of Swimming Pools /​ Jacuzzi *
What is the public area? *
Type of LRO *

Building Info

Business Address
Address *
City *
State *
Zip Code *
Mailing Address
Address *
City *
State *
Zip Code *
Annual Payroll *
Estimate Annual Income/Sales *
Description of Business

Please fill all the mandatory questions.

Location Details

Location/Building Details 1

Building Info

Construction Type
Roof Type
Other Roof Type
Total Square Feet
Year Built
Number of Stories
Number of Basement
Specify the Business

Building Renovations

Please choose all that apply
Year Wiring was renovated *
Year Heating was renovated *
Year Plumbing was renovated *
Year Roofing was renovated *

Security

Burglar Alarm Type
Percent of Protection that is sprinklers
Type of Safety Program *

Please fill all the mandatory questions.

Policy

History

Reason for Cancellation
Type of Business
Please describe how or why you are using drones. *

Prior Carrier

Name of Carrier *
Enter Other Carrier Name *
Policy Number *
Expiration Date of Policy *
Date of escrow closing *
Please explain the reason not carrying an insurance

Please fill all the mandatory questions.

Loss

loss 1

Loss/Claim Details

Type of Loss *
Date of Loss *
Amount of Loss
Description of Loss

Please fill all the mandatory questions.

Coverage

Property Coverage

Building Limit *

(Sq ft. * Cost per Sq ft.)

Improvement and Betterment Cost
Deductible *
Business Personal Property
Personal Property of Other (If Any)
Annual Gross Income

Additional Property Coverage

Liability Coverage

Occurrence /​ Aggregate
Product Liability

(Same as Aggregate Limit)

Liquor Classification *
Annual Liquor Sales *

Additional Policies

Umbrella Limit

Please fill all the mandatory questions.

Miscellaneous

Please fill all the mandatory questions.



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