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CONTRACTOR, BUSINESS AND COMMERCIAL INSURANCE QUOTE
Please Check ✷? Hints For Best Selection
I need a
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CGL-COMMERCIAL GENERAL LIABILITY QUOTE
COMMERCIAL AUTO QUOTE
Business Name
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Describe Your Operations
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Business Address:
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Postal Code
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Contact Name
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Phone#
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Email
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VIN#
or Year & Make
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Vehicle:
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Financed
Leased
Paid for
Coverage:
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1 Way ONLY (No collision or comprehensive)
Full(collision and comprehensive included)
Annual Driving Distance
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15,000km or less
5,000km or less
8,000km or less
Over 15,000km
Driver's Licence#
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G2 or G
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G2
G
Full G Yrs
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0
1
2
3
4
5
6
7
8
9
10
10+
15+
20+
25+
30+
G2 Yrs
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1
2
3
4
Non-Pays
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0
1
2
Minor
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0
1
2
3
4
5
6
7
Major
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0
1
2
Criminal
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0
1
2
D.L. Suspensions
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Yes, Conviction related
Yes, Administrative(ADLS)
Yes, For non-payment of fines
No
Insured last 3 yrs
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No
Yes, same co
Yes, not same co
Fault Accidents
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0
1
2
1st
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+
2nd
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+
Other Drivers
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No other drivers
My business partner
My employee
Your Premises
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Owned
Leased
Liability Required(CGL):
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$2,000,000
$3,000,000
$4,000,000
$5,000,000
Annual Sales
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Employees?:
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No, just myself
1
2
3
4-10
Over 10
Annual Payroll
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Is Coverage Required For: Building, Equipment, Stock, Tools, Office Contents, Business Interruption
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Yes
No, Just CGL - Commercial General Liability
Coverage Type Requested
you must have at least one item
Building
you must have at least one item
Equipment
you must have at least one item
Stock
you must have at least one item
Tools
you must have at least one item
Office Contents
you must have at least one item
Business Interruption
you must have at least one item
Anything you'd like to add?
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