Business Owner's Policy Quote Purmort & Martin Insurance - Local Agents Working for You ; Insurance Quotes from Someone You Can Trust Click Here or Call (941) 366-7070 Step 1 of 10 10% What is your business name:*Please provide information about your business Small business quotations include property and liability coverage in one comprehensive package.Contact Name:*Email Address:* Phone*Please describe your business:*What is your business address:*How many years have you been in business:* What type of entity is the business:*Sole proprietorshipPartnershipCorporationNot-for-profit organizationOtherIf other, please describe:What is your expected revenue (sales) for the next 12 months:*How many employees do you have:* Please provide information about the property portion of the packageDo you own the building you are located in:*YesNoWho is your current insurance carrier:What is the amount of building coverage on your current policy:Buildings will be quoted on a replacement cost basis.Is there a mortgage on the building:*YesNoName and address of mortgage company:Have you made improvements to the building:*YesNoImprovements can be adding permanently attached shelving, flooring, etc.What is the value of the improvements: What year was the building built:*Describe any updates to roof, heating, and electrical systems:*What is the construction of the building:*Frame (siding, wood)Brick (wood beams)MasonryConcreteSteelOtherIf other, please describe: How far away is the building from a fire hydrant:*What is the square foot area of the building:*Indicate the square foot area for the portion of the building that you occupyDo you have a sign:*YesNoIs the sign attached to the building:YesNoDoes the building have glass plates:*YesNoThis question does not apply to Canada.Please provide the dimensions of the glass by plate: What is the value of your contents (including inventory):*Does your inventory value fluctuate more than 25% for a certain season:*YesNoDo you have possession of property of others as a general course of business:*YesNoIf so, please describe: CANADIAN businesses, what liability limit would you like us to quote:$1,000,000$2,000,000$5,000,000Non-Canadian businesses, what liability limit would you like us to quote:$1,000,000$500,000$300,000$100,000Would you like employee benefits liability included in the quote:*YesNoDo you own any vehicles:*YesNo Please describe any claims you have had in the past five years:*Do you currently have insurance for your business:*YesNoName of insurance company:Policy number:Date coverage expires: MM DD YYYY Reason for requesting a quote: How did you hear about us:*I am a current customerA friendInternet search engineNewspaperOtherEmployee Comments or additional information:Did You Know Fences are not included in most property policies without being separately scheduled. Customer name or code: Thanks for providing this information . If we need to contact you for additional information, we will send you a message through the secure Message Center found in File Cabinet. You can view a copy of this request, and a copy of your ID card, by clicking on File Cabinet. You will receive an email confirming this request made on Tuesday, September 4, 2012 - 11:31. Your primary contact person in our office is . By clicking the Submit Button you are agreeing to the Terms Conditions of doing business with our agency via the Internet. Why Purmort & Martin Insurance? "We don't answer to shareholders, we answer to our Sarasota friends and neighbors." - Russ Bobbitt (partner) Click Here Contact Us Today!Don't Wait To Find Out You're Overpaying Call (941) 366-7070
