Commercial/Liability | Jamieson Services

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We offer a wide variety of commercial and liability policies for our business owner clients.

You can fill out the form below for a custom quote or call us at 847-838-3797.

Business Commercial Insurance Form

Name of Business

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone number

Type of Business

Year started

Legal entity:

Sole Proprietor

Corporation

"S" Corp

Partnership

LLC

Non-profit

Other

Current insurance company

Exp. Date

Insurance required:

Property

Liability

Worker's Compensation

Auto

UMB

Other

Losses (past years):

Own building?

Number of stores

Alarms

None

Central

Local

Building construction

Frame

Masonry (ord joist)

Masonry (non-comb)

Other

Year built

Basement?

Total square feet

Square feet occupied by insured

Building updates:

Electrical

Heating

Roof

Plumbing

Other

Protection Systems

Sprinklers

Ansul (restaurant)

Other

Exposures: Right, Left, Rear

Annual sales receipts

Annual payroll

Number of employees

Property Limits

Building

Contents

Business income

Property of others

Inland Marine

Sign(s)

Glass

Other

General liability limits

Describe below

Automobile limits

Liability

Med pay

UM/UIM

Comp/Collision (DED)

Non-owned/hired

Other

Workers compensation

FEIN #

Codes/payrolls

EL Limits

Questions/Comments

Please type below any other questions or comments you may have. You can also call us at 847-838-3797.