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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?

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?

If you own property, when did you purchase it?

Year the building was built?

Square footage of the building?

Contents Limit ?

Deductible Requested ?
Building Limit ? * If Needed

Building Construction ?

Information Needed For Reply

Email:

Name:

Address:

City:

County:

State:

Zip:

Phone: -

Fax: - * Not Required

How did you find our web site ? * 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.

All Contents ŠCopyright Hann Insurance

California Only
Your current General Liability Insurance Company ?:
Current Premium:
Next Renewal Date:
Description of Business Operations:
Limit of Liability Requested?
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?
If you own property, when did you purchase it?
Year the building was built?
Square footage of the building?
Contents Limit ?
Deductible Requested ?
Building Limit ?	* If Needed
Building Construction ?

Email:
Name:
Address:
City:
County:
State:
Zip:
Phone:	-
Fax:	- * Not Required
How did you find our web site ?	* Not Required
Any Further Questions: