Allen Insurance Group > Get a Quote for BOP Insurance

Get a Quote for Small Business Insurance

Complete the following information and submit to get a quote within 24 hours.
* Required information * available for Georgia locations only


Company Information
*Company name:
*Contact first name:
*Contact last name:
*Telephone:
*Email:
*Address:
*City:
*County:
*State:		*Zip:
Website address:
*Description of operations:
*Year business started:
*Annual gross sales:	$
*Annual gross payroll:	$
*Number of employees:

*Business type:	Sole Proprietor Partnership LLC Corporation

Lines of business:	Property Liability Automobile

Insurance Information
*Current insurance provider:
*Current policy expiration date:
*Any claims in the last five (5) years?		Yes No
Liability limit:		$300,000/$600,000 $500,000/$1,000,000 $1,000,000/$2,000,000
*Do you own the building in which your business is located?		Yes No
Building value:		$

Building deductible:		$250 $500 $1000 $2500

Building contents value:		$

Building contents deductible:		$250 $500 $1000 $2500

*Building construction:		Masonry Joisted masonry Frame All metal structure Brick veneer

*Building square footage:
*Building age:
*Are there any other businesses in the building?		Yes No
List other businesses in building:
*Do you have any company-owned automobiles?		Yes No

Automobile liability limit:		$100,000 $300,000 $350,000 $500,000 $750,000 $1,000,000

Physical damage deductible:		$250 $500 $1000 $2500
Do you need towing coverage?		Yes No
Do you need rental reimbursement?		Yes No


Automobiles in fleet
Year:		Make:	Model:
VIN:	Value: $

Year:		Make:	Model:
VIN:	Value: $

Year:		Make:	Model:
VIN:	Value: $

Year:		Make:	Model:
VIN:	Value: $

Year:		Make:	Model:
VIN:	Value: $
Do you have more than 5 cars? Yes No
If you own more than 5 cars, a representative will contact you for more information.

Comments: