Wholesale Business Insurance

For California residents only.

After you've completed this form, click on the SUBMIT button to receive your free Wholesale 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
Wholesale Business	--- select --- Accounting & Adding Machine Air Conditioning & Heating Equipment Aquarium Supply Art Supplies Audio Visual Equipment & Supplies Auto Parts & Accessories Bakeries Beverage (non-alcholic) Book & Magazine Bridal Clothing Building Maintenance Supplies Business Machines Supply Camera & Photographic Supply Candy,Nut & Confectionary (no cooking) Carpet, Rug & Floor Covering Church Supplies Clocks Cloth Goods & Yarn Clothing, Mens' & Boys' Clothing Stores, Ladies' & Girls' Clothing, Children's & Infants' Wear Coffee, Tea & Spice Stores Copying & Duplicating Supply Stores Corsets & Girdles Stores Dairy Products - Eggs, Ice Cream Electrical Fixture & Supply Store Equipment Fixtures for Bars,Hotels,Restaurants Fabric Stores Fish Market Stores Florists 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 Kitchenware & Cutlery Lamps, Lampshade & Light-Fixture Lawn & Garden Supply Leather Goods Maternity Meat,Fish & Poultry Mirrors Music,Tape & Records Office Furniture Office Machines Optical Goods Organs & Pianos Paint,Glass & Wallpaper Pet Supply Photographic Equipment Picture Frames Plumbing Fixtures & Supplies Pottery Equipment & Supplies Radios Religious Goods School Supplies Sewing Machines Shoes Slipper,Rubbers & Boots Sporting Goods Stationary Supplies Stereos,Record Players & Tape Recording Sunglasses Television & Radio Sales Tobacco, Pipes & Smokers Articles Toys & Games Typewriter Sales Vacuum Cleaner Sales 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 Wholesale Business Insurance quote?	Phone U.S.Postal E-mail Fax

 

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