Garage Insurance Quote Application

Fill out the quick start below.

We will review your request ASAP.

Plan how you’ll invest your savings.

Business info

Business name

Mailing address

Address line 1

Address line 2

City

State

Zip

Primary contact

First name

Last name

Phone

Email
This email address will receive a confirmation email upon submitting this form

Number of employees

Full time

Part time

Effective Date for Coverage

Property info

Location 1

Property address

Address line 1

Address line 2

City

State

Zip

Property limit

BPP (business personal property) limit

Location 2 (if applicable)

Skip to the next section if you only own one location

Property address

Address line 1

Address line 2

City

State

Zip

Property limit

BPP (business personal property) limit

Liability info

Commercial umbrella limit

EPL (Employment Practices Liability) limit

Location 1 - Customer auto limits (gargekeepers)

Location 2 - Customer auto limits (gargekeepers)

Commercial auto info

Number of owned autos

Number of dealer plates

Work comp info

Class code	Payroll	State	Experience mod.

Prior loss history

Any losses in the last 4 years?

If Yes, any losses over $10,000?