BUSINESS INSURANCEGENERAL INFORMATION The information provided on this website is for general informational purposes only and does not constitute insurance advice. Coverage cannot be bound, altered, or canceled via this website, email, voicemail, or online forms. All coverage is subject to the terms, conditions, and exclusions of the policy issued. Please speak with a licensed agent for specific coverage guidance. Referred by: Current Insurance: Current Premium: Effective Date: Coverage Needed: General LiabilityCommercial PropertyUmbrella/Excess LiabilityProfessional LiabilityCommercial AutoWorkers CompensationGarage/Dealers Basic Information: Insured Legal Name: Entity Type FEIN: Primary Contact: Website: Do you? LeaseOwnOffice at Home Mailing Address: Physical Address: Phone: Cell: Email: Operations Information: Date Business Started: Years of Experience in Industry: Description of Operations (Please be as Detailed as Possible!): Business Owner Name (required) Date of Birth % Owned Total PROJECTED Annual Gross Sales Amount: Do You Have Employees? If Yes, # of Employees: Total Annual Employee Payroll Amount: Do You Use Sub-Contractors? If Yes, Total Annual Amount Paid to Subs: IF NEEDED, Coverage for Tools & Equipment: IF NEEDED, Coverage for Business Personal Property (Computers, etc): Have You Had Any Liability Claims in the Last 5 Years? If so, please provide: Date of Loss Description By providing your information, you consent to being contacted by phone, email, or text message regarding your request. Continue How did you hear about us?* Tom Martino's Troubleshooter ShowRefealist.comGoogleI have worked with Compass beforeSocial MediaWord Of Mouth —Please choose an option—FacebookInstagramLinkedInTik TokYouTube First Name* Last Name* Business Name* Email Address* Phone Number* Office*Mobile* Address* Suite/Unit Number City* State* Zip* Aside from price, what are your biggest priorities when it comes to your insurance?* —Please choose an option—Superior Customer ServiceFinancial StabilityConvenient Billing OptionsSuperior Claims ServiceOnline Services Which insurance products would you like us to quote for you today?* Builders' RiskContractor's General LiabilityBusiness Owners Package (BOP)Commercial AutoGeneral LiabilityProfessional LiabilityDirectors and Officers Liability (D&O)Employment Practices Liability (EPL)Workers Compensation Do you consent to receiving text messages from our office regarding your application or policy?* (Carrier data rates may apply) YesNo By providing your information, you consent to being contacted by phone, email, or text message regarding your request. Get Quote Upload Your Declarations Previous
