Business Owner Policy in Georgia

Quote

Start the quote process here with assurance that your data will remain in our agency and NOT be provided to others.  You will receive a call from our office to review the information submitted and start the quote process.

We Represent 8+ Insurance Companies Providing Business Solutions.

If the below form seems long, please do the best you can and we will contact you to review the data.  You can also give us a call at 1-877-77-GoAIB or 678-648-1900.

Online App
  1. (required)
  2. (valid email required)
  3. (required)
  4. (required)
  5. (required)
  6. (required)
  7. (required)
  8. (required)
  9. (required)
Rating Information
  1. If Restaurant, is there an Auto Extinguishing System (i.e. Ansul)

  2. Is the business located in an enclosed mall?

  3. Is the Business closed more than 60 consecutive days each year?

  4. Are there apartments in the Building?

  5. Is there a basement?

  6. Is the Building 100% sprinklered?

Owner/Employee Info
  1. (required)
  2. (required)
  3. (required)
  4. (required)
  5. (required)
  6. (required)
If currently or recently insured please provide
  1. Is there Current Insurance Coverage or Past Coverage?

  2. Is policy being "canceled" or "non-renewed"?

  3. Have there been any losses?

Coverage Information Request
  1. (required)
Computer Coverage
  1. Equipment Breakdown to be EXCLUDED?

  2. External Surge protectors on computers?

Optional Coverage
  1. Business Income coverage

Glass coverage
Other Coverage Options
  1. Sign Type

  2. Is Business Open 24hrs?

Miscellaneous Optional Coverage
Workers Comp
  1. Workers Comp Quote

  2. Owners Quote

Comments
Validation
 

cforms contact form by delicious:days

Popularity: 100% [?]

Share and Enjoy:
  • Print
  • Sphinn
  • del.icio.us
  • Facebook
  • Google Bookmarks
  • Blogplay
  • email
  • Live
  • MySpace
  • Ping.fm
  • Twitter