Minnesota Trusted Choice Insurance Professionals!

Business Owners Insurance Quote Request Form

Get your Free Minnesota Commercial Quotes Now from Your local  Trusted Choice Professional

One Simple Form - takes only 3-5 Minutes

Your Name:*
Your Company Name:
Street Address:*
City*
State: (Must Be MN)*
Zip Code:
Currently Insured?*
Yes, Continuous for over 3 years
Yes, Continuous for less than 3 yrs.
No
Type of Business:
Retail
Wholesale
Office
Contractor
Manufacturer
Other
List Claims & Amounts Last 3 Years:
Years In Business:
Business Type:
Individual
Partnership
C-Corportation
S-Corporation
LLC
Non-Profit
Describe Your Business in Detail: (What do you make or do?)
Number of Owners Active In Business:
Number of Employees:
Annual Payroll Paid Out Last Year:
Annual Sales & Receipts: (Estimated or Earned Last Year)
Square Footage of Office or Business Location:
Type of Bldg:
Frame (Wood Construction)
Other
Unsure
Are There Other Businesses/Residences in this Bldg: (If So Describe)
Describe Safety Equipment: (Sprinklered Bldg, Fire Protection, etc)
Coverage Desired:
Liability Only
Liability & Business Contents
Liability, Building & Contents
Package Policy Including Above & Other Miscellaneous Coverages
Send Us a Copy of your Policy or Information to Quote:
Liability Limit Desired:
$300,000
$500,000
$1,000,000
$2,000,000
Not Sure
Business Contents Coverage:
Building Coverage Limit:
Miscellaneous Coverage: (Loss Of Income, Garagekeepers, etc)
Email address:*
Daytime Phone Number:

Thank your for filling out this form Completeley!

You should know: Agents and Insurance Companies must confirm your loss history and run your insurance score to obtain discounted insurance quotes. Insurance scores are unique for each company with some carriers giving discounts of up to 50% for those with exceptional credit. Learn more about insurance scoring?

By submitting this form, you are giving your permission.

We value your data as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or for ANY other purposes. By submitting this form you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.
Contact us for more information or to request a review of your insurance needs.

952-469-0414

2008 PLINS