GET A QUOTE

Business name:

Address:

City:

Postal code:

Website address:

Tell us about your business...

Description/ Type of business:

How long have you been in business?

How many years have you had insurance:

Current Insurance company name:

Any claims in the last 5 years?

What is your annual revenue/ gross sales:

Do you do any business outside of Canada?

Number of Employees:

Do you work out of home or have a physical Business location?

Address if different from above:

Year built:

Type of construction: i.e. Highrise building, strip plaza etc.

Type of roof:

Square feet:

is it sprinklered?

does it have a monitored alarm?

If over 20 years old please indicate year the following have been updated.

• roof
• plumbing
• furnace
• electrical

Coverage & Deductibles

Please fill in the coverage's you presently have. The best place to find this information is on your current insurance policy. If a section does not apply to you, please leave it blank or fill in "n/a". If you are uncertain of an answer, mention it in the comment section at the bottom.

Basic Coverage

Building coverage limit:

Contents Limit:

Commercial Liability Limit:

Sewer back up:

Business interruption

Comment: