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Business Insurance
Quote Information Sheet
Business Insurance for California Only
Please Click on Insurance Categories below for a free Quote
BUSINESS INSURANCE
Please provide us with the following information for a Quotation
California Only
Your current General Liability Insurance Company ?:
Current Premium:
Next Renewal Date:
Description of Business Operations:
Limit of Liability Requested?
Select
$100,000
$300,000
$500,000
$1,000,000
Annual Gross Receipts
Number of Employees
Annual Employee Payroll
Number of claims or Losses in the Last 3 years ?
DBA:
Years of Experience?
Do you own your property?
Select
Yes
No
If you own property, when did you purchase it?
Year the building was built?
Square footage of the building?
Contents Limit ?
Deductible Requested ?
Select
$250.
$500.
$1,000.
$2,500
Building Limit ?
* If Needed
Building Construction ?
Select
Frame
Masonry
Other
Information Needed For Reply
Email:
Name:
Address:
City:
County:
State:
Zip:
Phone:
-
Fax:
-
* Not Required
How did you find our web site ?
Please Select
Alta Vista
Another Insurance Company
AOL Search
Ask Jeeves
Excite
GoTo Net
Google
Hotbot
Infoseek
Lycos
MaMa
MetaCrawler
Netscape Search
NorthernLight
Referred by someone
Starting Point
Webcrawler
Yahoo
Yellow Pages
Other (Please specify below...)
* Not Required
Any Further Questions:
If any questions please contact our office at
mail@hanninsurance.com
Or call (760) 365-9744.
IMMEDIATE RESPONSES ON ALL QUOTES.
Disclaimer: All quotes are subject to change. Quotes are based on the information
you provide. Please be as accurate as possible so we can be as accurate as we can.
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