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Insurance People of NC - 800-825-0442


BUSINESS INSURANCE

Request Quote

home insurance New Business Quote

To obtain a quote, please complete the following form. Required fields are marked with (*). Coverage is not bound until you receive a written or verbal confirmation from our office.

*Business Name:  
* Contact
*Address: (Street)
(apt, suite, etc.)
City
State
Zip Code
*Phone: --
Fax: --
* Email:
*# of Years Experience
*Description of Operation:
PROPERTY COVERAGE
*Property Address: (Street)
(apt, suite, etc.)
City
State
Zip Code
Square Footage: # of Stories:
Sprinklered: Alarm:
Building Permit: Year Built:
Type of Construction: Contents Limit:
Business Income Limit: Deductible:
Mortgage: Loss Payee:
GENERAL LIABILITY
General Liability Limit: Class Code:
Gross Sales: Payroll:
Additional Insureds:  
WORKERS COMPENSATION
Classification: Class Code:
Federal ID #: Annual Payroll:
Officers Included/Excluded:
AUTOMOBILE COVERAGE
Liability Limit: Uninsured Motorist:
Medical Pay: Hired and Non-Owned:
Comprehensive Deductible: Collision Deductible:
Schedule of Vehicles:
Loss Payees:
CRIME COVERAGE
Employee Dishonesty: Deductible:
Money & Securities Theft on Premises: Off Premises:
INLAND MARINE COVERAGE
Equipment Limit: Tools Coverage:
Transit Coverge: Computer Limit:
Deductible:
UMBRELLA COVERAGE
Limit of Liability: Retention:
Personal Umbrella Coverage:
DIRECTORS AND OFFICERS
Limit of Liability:
I understand that NO Coverage is bound by submitting this on-line quote request. Coverage is only bound when verbal or written confirmation is received from our office.
durham, nc Insurance People - 1920 Front Street, Suite 750 - Durham, NC 27705 Copyright © Insurance People, 2011-2017