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Contact Us
Home
About Us
Products & Services
Personal Insurance
Business Insurance
Tools & Resources
Quote Requests
Automobile Quote
Homeowner Quote
Business Quote
Contact Us
Business Insurance Quote
Name
*
First
Last
Email
*
Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Construction of Building
Does the building have a sprinkler system?
How much area do you occupy?
< 5,000 ft
5,000 - 10,000 ft
> 10,000 ft
Are you the only tenent?
Yes
No
Is there a fire hydrant within 500ft (150 meters)?
Yes
No
Is there a Fire Hall within 3 miles (5 km)?
Yes
No
Has insurance ever been denied or canceled?
Yes
No
What type of business?
Retail
Office
Building Ownership
Wholesale Operation
Farm
Service Operation
Contractor
Garage Operation
Manufacturing
Other
How many years in business?
<1 year
1 - 5 years
>5 years
Have there been any insurance claims in the past 3 years?
No
<= 2
>= 3
What are the annual receipts?
Up to $50,000
$50,000 - $100,000
$101,000 - $500,000
$501,000 - $1,000,000
Over $1,000,000
What is the annual payroll?
Up to $50,000
$50,001 - $100,000
$101,000 - $500,000
$501,000 - $1,000,000
Over $1,000,000
