For Your Business

Business Owner's Policy (BOP) Quote

Many small business owners buy a type of insurance coverage called a Business Owner's Policy.

This is a package policy that covers major property and liability exposures as well as a loss of income if your business cannot operate for a period of time. For example, if your firm's roof is damaged during a thunderstorm, causing your office to flood and your business to close for two months, a BOP would provide coverage in several ways. The policy would cover the cost of repairing the roof, cleaning up water damage and repairing or replacing your furniture, computers and supplies. A BOP also would cover your payroll and taxes for the two months the business was closed. And if one of your clients was in your office during the storm and was injured by falling debris, a BOP would cover your customer's medical bills.

General Information

Name of Insured

Address

City

State

Zip Code

Business Phone

Fax Number

Email Address

Location Address (type "same" if same as above)

City

State

Zip Code

Property Questions

Age of Building/ Year Built

Type of building construction --Select One-- Frame Stucco Masonry/Brick Fire Resistive Other

Number of stories

Other occupancies

Square feet you occupy

If the building is over 25 years old, please answer the following:

Year Electricity was updated

Is it on circuit breakers? --Select-- Yes No

Year Plumbing was updated

Copper or Galvanized plumbing? --Select-- Copper Galvanized Other

Year Building was last re-roofed

Type of roofing material

Type of heating system in the building

Protective Devices

Burglar Alarm --Select-- Yes No

Central Station or local alarm? --Select One-- Central Station Local Alarm

Name of alarm company

Is the building sprinklered? --Select-- Yes No

Are there smoke detectors? --Select-- Yes No

Liability Questions

Previous Insurance Carrier

Policy number

Prior premium

Policy renewal date

Please provide information about your business:

Years in business

Projected Gross annual receipts

Projected annual payroll

Describe your business, product or service:

Coverage Limits

Building

Contents (equipment, inventory, supplies, etc.)

Deductible --Select-- $100 $250 $500 $1,000

Loss of Income

Money and Securities

Glass or signs

General Liability Limit --Select-- $500,000 $1,000,000 $2,000,000

Non-owned and Hired Automobile Liability

Is liquor liability needed? --Select-- Yes No

If Glass Coverage is needed, please provide dimensions:

Please list other coverages you may need:

Miscellaneous Information

Name of Additional Insured (Landlord or vendor)

Mailing Address

City

State

Zip Code

Additional Comments

Please give any additional comments you feel appropriate for this quotation. If you have additional information where there was not enough fields above, please enter them here.

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