Free Business Insurance Quote

We would like to provide you with a free, no-obligation business insurance quote. Please provide as much information possible for the most accurate quote. This information will be kept confidential and will be used for quote purposes only.

General Information (*required)
*Name of Business:
*Contact Name:
*Address:
*City:  *State:   *Zip:
*Business Phone:   Fax:
Best Time To Call:   AM   PM
Federal Employer ID #:
*Contact Email Address:


Current Insurance Information
Company Name (not agency):
Policy Expiration Date:   Premium Amount: $
What type of coverages do you currently have:
Bond
Commercial Auto
Commercial Liability
Commercial Property
Commercial Umbrella
Directors & Officers Liability
Disability
Group Health
Group Life
Professional Liability
Workers' Compensation
Other  


About Your Business
# of full-time
employees
# of part-time
employees
How long
in business
How many
locations
Annual
sales
years
$
Please give a brief description of your business and clientel (below):


Coverage Information
Please select the type of coverages you want:
Bond
Commercial Auto
Commercial Liability
Commercial Property
Commercial Umbrella
Directors & Officers Liability
Disability
Group Health
Group Life
Professional Liability
Workers' Compensation
Other  


Additional Comments
Please give any additional comments you feel appropriate for this quotation. If you have
additional information where there was not enough space, please enter them here.


Please click on the "Submit Quote" button to send your quote request.
One of our representatives will respond to your submission as soon as possible.

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Appointments Made Easy

Would you like to meet with one of our local agents? Scheduling an appointment is as simple as filling out the information below. We will confirm within one business day. You can also call our local office at (718) 885-1050. We are always happy to assist you! Get directions to our office.

I'm interested in...

Professional review of my current policy(s)
Personal Insurance
Commercial Insurance
Other


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Tell us how to get in touch with you:

Name
E-mail
Phone
Pol#

Please contact me as soon as possible regarding this matter.
 
 
 
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