Business Quote Step 1 of 2 50% Your First and Last NameEmailPhone numberFederal Tax ID#Name of BusinessWhen did you start your business? Date Format: MM slash DD slash YYYY Length of Time in IndustryNature/ Description of BusinessPlease describe the business typeBusiness Formation TypeLLCC- CorporationS- CorporationPartnershipSole ProprietorBusiness Address(use home address if you don't have a physical location yet) Number of Full Time EmployeesNumber of Part Time EmployeesGross Sales per year ($)(if this a new business, what are you projecting your gross $$ to be for the next 12 months?)Business Personal Property ($)(this is coverage for equipment, tools, supplies, computers, etc)Do you currently have insurance for your business?NoYesCurrent Insurance Company?When does your current policy expire? Date Format: MM slash DD slash YYYY How many years with your current insurance company?Any Claims in the past 5 years?NoYesClaim Date, Description of Claim, and $ Amount PaidCoverages Interested in: General Liability Property - Building Property - Business Personal Property Workers Compensation Commercial Auto Umbrella