Secure Commercial Property Quote Request Form

Commercial property cover pays to repair or replace your building and everything in it after a fire, theft, storm or similar loss — and can replace the income you lose while you are closed.

Only your name, email and phone are required — fill in what you know and we will come back to you for the rest. Nothing here is an application and nothing is binding.

Your business Business Name

DBA / Trading AsOnly if different from the name above.Business Structure

Business Address

CityZIP Code

Mailing AddressOnly if your mail goes somewhere else.

Your First NameYour Last Name

Email AddressPhone Number

Years in BusinessApproximate Annual RevenueA rough figure is fine.

WebsiteIf you have one.

Your building

Do You Own or Lease the Building?Year the Building Was Built

Square FootageNumber of Stories

Construction TypeYear the Roof Was Last Replaced

Year the Plumbing Was Last UpdatedYear the Electrical Was Last Updated

Year the Heating / Air Was Last Updated

Fire and security protection

Does the Building Have Fire Sprinklers?Alarm System

Distance to the Nearest Fire Hydrant or StationA rough distance is fine.

What it is worth

Cost to Rebuild the BuildingValue of Furniture, Fixtures and Equipment

Value of Stock or Inventory on HandDo You Want Cover for Lost Income if You Have to Close?

Your current cover and timing Any property claims in the past 5 years?

Current or Previous InsurerIf you are switching or renewing.What You Pay NowIf you know it.

When Do You Need Cover to Start?

Anything Else We Should Know

This is a solicitation for insurance. Completing this form does not apply for or bind cover. Coverage cannot be bound or changed via this form, e-mail, voicemail, text, or facsimile — only by written confirmation from our office.