General Liability

  • Applicant
  • General Info
  • Business Info
  • Business Location
  • Coverage
  • Miscellaneous
  • Select Agents
  • Finish

Applicant

Can you tell us about yourself?

First Name *
Last Name *
Email *
Phone *

Please fill all the mandatory questions.

General Info

General Information

Business Name *
DBA (If Applicable)
FEIN # (If Applicable)
Business Address
Address *
City *
State *
Zip Code *
Mailing Address
Address *
City *
State *
Zip Code *
Organization Type *
Founding Date

Please fill all the mandatory questions.

Business Info

Business Information

Type of Business
# Full-Time Employees
# part-Time Employees
Annual Sales *
Annual Payroll *
Description of Business

Please fill all the mandatory questions.

Business Location

location 1

Building Info

Location Address
Address *
City *
State *
Zip Code *
Mailing Address
Address *
City *
State *
Zip Code *
Construction Type
Roof Type
Total Square Feet
Year Built
Number of Stories
Number of Basements
Primary Heating Type
Other Primary Heating Type
Secondary Heating Type
Other Secondary Heating Type

Interest

Interest's Type
Interest's Name
Reference or Loan #
Interest's Address
Address
City
State
Zip Code

Building Updates

Please choose all that apply
Wiring Update Year
Roofing Update Year
Plumbing Update Year
Heating Update Year

Safety

Burglar Alarm Type
Fire Protection Type
Percent of Protection that are sprinklers
Number of Wood Burning Stoves

Property Coverage

Content Coverage Amount Need
Coverage Amount Needed for Tools
Coverage Amount Needed for Computers
Contractors Equipment Coverage Amount Needed
Any Other Business Items That You Would Like Insured

Please fill all the mandatory questions.

Coverage

Please fill all the mandatory questions.

Miscellaneous

Please fill all the mandatory questions.

Select Agent(s) to Get Quote From:

Agent Info
Representing Companies
Barry M Kamran
Agency's Agent Rep
  • Barry M Kamran
  • 2072 Orchard Dr Newport Beach, Newport Beach, California, 92660
  • View Profile
  • Prudential
  • National General Insurance (GMAC)
  • National Life
  • Nationwide Mutual Insurance Company
  • Next Century Insurance
  • Ohio Mutual Insurance Company
  • Pacific Life
  • Philadelphia Insurance Companies
  • Principal Financial Group
  • Progressive
  • Modern Woodmen of America
  • RLI Corp.
  • Safeco
  • State Auto Insurance Company
  • The Hartford
  • The Philadelphia Contributionship
  • The Travelers Companies
  • Topa Insurance Company
  • Unified Life Insurance Company
  • Zurich Insurance Group
  • Hiscox Small Business Insurance Hiscox Insurance Company
  • Applied Underwriters
  • Assurant
  • Bankers Insurance Group
  • Berkshire Hathaway - GUARD
  • Chubb Corp
  • Cigna Health Spring
  • CNA Insurance
  • Colonial Life, Accident Insurance Company
  • Hanover Insurance
  • American Bankers Association
  • Infinity Insurance Company
  • Kaiser
  • Kemper Corporation
  • Liberty Mutual
  • MAPFRE U.S.A. Corp.
  • Markel Corporation
  • MassMutual
  • Mercury Insurance
  • MetLife


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