Retail Business Insurance

For California residents only.

After you've completed this form, click on the SUBMIT button to receive your free Retail Business Insurance quote. You'll be given an opportunity to specify U.S. Postal Service, e-mail or fax. Or phone (760) 644-0351.

Customer Information
Retail Business	--- select --- Accounting Machine Stores Aquarium Supply Stores Art Supply Stores Audio Visual Equipment Store Auto Parts & Accessories Stores Bakeries Bath Shops Beauty Supply Stores Bedding Stores Beverage Stores (non-alcholic) Bicycle Shops Book & Magazine Stores Bridal Clothing Stores Business Machines Supply Stores Butcher Shops Butter,Cheese,Milk & Egg Stores (not stands) Cake Decorating Supplies Camera & Photographic Supply Stores Candle Stores Candy,Nut & Confectionary Stores Carpet Stores Ceramics & Pottery (no firing) Children's Clothing Stores Chinaware & Glassware Cigar,Cigarette & Tobacco Stores Clock Stores Cloth Goods & Yarn Stores Clothing Stores, Mens' & Boys' Clothing Stores, Ladies' & Girls' Coffee, Tea & Spice Stores Copying & Duplicating Supply Stores Corsets & Girdles Stores Cosmetics,Toiletries & Perfumes Craft Stores Dairy Product Stores Delicatessens (no cooking) Drapery Stores Dressmaking (custom work) Drugstores (medical supplies only) Drugstores (all other types) Electrical Fixture & Supply Store Fabric Stores Fish Market Stores Fishing Tackle Stores Florists Franchise - Go Back & Click on Franchise Button Fruit & Vegetable Stores (not open stands) Furniture Stores Gift Stores Grocery Stores Handbag & Glove Stores (ladies) Hardware Stores (no power tool rental) Health Food Stores Hearing Aid Sales & Service Hobby Supply Stores Hosiery Stores Household Appliance Stores Ice Cream & Yogurt Stores Kitchenware & Cutlery Lamps, Lampshade & Light-Fixture Stores Lawn & Garden Supply Stores (no power tool rental) Leather Goods Stores Lingerie Shops Maternity Shops Meat,Fish & Poultry Stores Music,Tape & Record Stores (no video stores) Newspaper Stands (not sidewalk) Office Furniture Stores Office Machine Stores Optical Goods Stores Organ & Piano Stores Paint,Glass & Wallpaper Stores Party Supplies (no renting or catering) Patio Furniture Pet Stores Pharmacies Picture Frames Picture/Poster Stores Plant Shops Plumbing Fixtures & Supply Pottery Equipment & Supply Stores Radio Stores Religious Goods School Supply Stores Sewing Machine Stores Shoe Stores Slipper,Rubbers & Boot Stores Sporting Goods Stores Stationary Stores Stereos,Record Players & Tape Recording Sunglasses Stores Syrups,Molasses,Preserves Stores (no open air stands) Telephone Store Television & Radio Stores Tile Stores Tobacco Stores Toy & Game Stores Trophy Stores Tropical Fish & Supply Stores T-Shirt Shops (no silk screening done) Typewriter Stores Vacuum Cleaner Sales & Service Stores Variety Stores Not Listed Above - Call us.
Contact Name
Company
E-mail
Street address
City
County
State
Zip Code
Home Phone
Work Phone
FAX

Address of Property (if different from above):
Address
City
County
State
ZipCode

Building Description
Year Built
Building Type	-- select -- 1 to 4 Stories 5 Stories & over
Construction Type	-- select -- Stucco/Masonry Frame (predominantly wood) Non-Combustible
Basement Type	-- select -- None Unfinished Basement Partially Finished Basement Finished Basement
Air Conditioning	-- select -- No Air Conditioning Window Air Conditioners Central Air Conditioning
Parking Type	-- select -- Carports Garage or ground level parking under roof Underground parking
Enclosed Parking Sq.Footage
Building Sq.Footage
Elevators	Yes No
Building Owner Occupied	Yes No
Loss of Income/Rents	Yes No
Building Sprinklered	Yes No
Enclosed Access?	Yes No

Coverage Limits
Building Coverage
Contents Coverage
Liability Limits	-- select -- $100,000 $300,000 $500,000 $1,000,000 $2,000,000
Deductible Options	-- select -- $500 $1,000 $2,500 $5,000 $10,000
Property of Others
Exterior Signs
Employees at Location	Full Time Part Time
Employee Dishonesty	-- select -- None $5,000 $10,000 $20,000 $30,000 $40,000 $50,000
Spoilage	-- select -- None $2,500 $5,000 $7,500 $10,000 $20,000 $30,000 $40,000 $50,000
Earthquake	Yes No
Building Laws	Yes No
Water Damage	Yes No
Hired Auto	Yes No
Employer's Non-Owned Auto	Yes No
Heating & Air Conditioning Equipment	Basic Broad Heating Boilers

Have you had any Building losses within the last three years?

Insurance Information
Current Insurance
Expiration Date

Reporting Method
How would you like to receive your free Retail Business Insurance quote?	Phone U.S.Postal E-mail Fax

 

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