License: #0735703
(619) 444 4664
[email protected]

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Business Owner’s Insurance Quote

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Business Owner’s Insurance Quote

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Business Owner’s Insurance Quote

Business Owner's Insurance Quote

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General Information

Company/Business Name:*

Business Address:

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Contact Person Information

Full Name*

Email

Phone*

Please Tell Us About Your Business

Number of Full Time Employees:

Number of Part Time Employees:

Number of Years in Business:

Number of Business Locations:

Type of Business:

Annual Gross Sales (Before Tax) ($):

Cost of Any Sub Contracted Work ($):

Please give a brief description of your business & clientele:

Location 1 Information

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Year Built In:

% Occupied:

Building Value ($):

Contents ($):

Type of Ownership:

Owner

Tenants

Construction Type:

Frame

Stone

Brick

Stucco

Metal

Concrete

Other

Number of Basements:

Area (Sq. Feet):

Burglar Alarm:

Yes

No

Sprinklers:

Yes

No

Location 2 Information

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Year Built In:

% Occupied:

Building Value ($):

Contents ($):

Type of Ownership:

Owner

Tenants

Construction Type:

Frame

Stone

Brick

Stucco

Metal

Concrete

Other

Number of Basements:

Area (Sq. Feet):

Burglar Alarm:

Yes

No

Sprinklers:

Yes

No

Current Insurance Information

Insurance Company Name:

Policy Expiry Date (MM/DD/YYYY):

Premium Amount ($):

Any Losses In Last 3 Years?

Same Company Policy Since?

Please Provide An Approximate Amount For The Type Of Coverage You Want

Choose The Type of Coverage You Are Looking For:

Liability Only

Liability & Business Contents

Liability, Building & Contents Coverage

Miscellaneous Coverage

Liability Coverage (Ex. $300,000, $500,000, $1 Million, etc.):

Building Coverage ($):

Business Content Coverage ($):

Miscellaneous Coverage ($) (All Coverage including Loss of Earnings, Valuable Papers, etc.):

Any additional comments or information that might be helpful in your Business Owners insurance quote:

Disclaimer

No coverage of any kind is bound or implied by submitting information via this online form.

We will only use information provided to assist in obtaining appropriate insurance quotes and coverage.
We will not distribute information to other parties other than for insurance underwriting purposes.
By checking the box below you agree to release us from any liability should this information be accidentally viewed by others.

Yes I agree

At Jenkins Financial Insurance Agency, we work on humanitarian principles. To us, that means being there, emotionally and financially, for a customer who has suffered a loss. And it means responding to the needs of the community when disaster strikes, with money and volunteers.

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Contact Info

Jenkins Financial Insurance Agency 236 Jamacha Road Suite 102 El Cajon, CA 92019-2366
(619) 444 4664
[email protected]

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