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 recieve a call from our office to review the information submitted and start the quote process.

If the below form seems daughting, 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

Your Name(required)
Email(valid email required)
Your Phone Number(required)
Business Name
Website
Business Address (no PO Boxes)(required)
City(required)
State(required)
Zip Code(required)
County Name
Business Entity(required)
Business Type(required)
Please Describe Business

Owner/Employee Info

Number of Business Owners?(required)
Owner's Approximate Payroll?(required)
Number of Full Time Employees(required)
Number of Part Time Employees(required)
Employee Payroll equals=(required)
Annual Gross reciepts(required)

If currently or recently insured please provide

Is there Current Insurance Coverage or Past Coverage?
Yes
No
Most recent carrier's name
Most recent policy number
Is policy being "canceled" or "non-renewed"?
Yes
No
if yes, please explain why
Have there been any losses?
Yes
No
If yes, please explain with date of loss, brief description, and amount paid

Coverage Information Request

Liability Liimits(required)
Liability Limits (for optional quote)
Building Limits (if the business owns the building)
Content Limits
Dedudibile

Computer Coverage

Computer Equipment/Hardware Limits
Computer Equipment/Software Limits
Equipment Breakdown to be EXCLUDED?
Yes
No
External Surge protectors on computers?
Yes
No

Optional Coverage

Business Income coverage
Yes
No
Employee Dishonesty Limits
# of employees
Fire Legal Liability Limits
Food Spoilage Limits

Glass coverage

Linear Feet
Square Feet
Glass Dollar Value

Other Coverage Options

Hired and Non-Owned Auto Liability Limit
Sign Type
Inside
External
Sign Construction Type
Sign Limit
Garage Keepers Limit (minimum $25,000)
Garage Keepers Deductible
Number of Gas Pumps?#Yes
Is Business Open 24hrs?
Yes
No

Miscellaneous Optional Coverage

Additional Insured(s): How Many?
What is their Interest? Lienholder? Landlord?

Workers Comp

Workers Comp Quote
Yes
No
Owners Quote
Include the Owner
Exclude the Owner
Class Code 1
Payroll 1
Class Code 2
Payroll 2
Class Code 3
Payroll 3

Georgia Business Owner Policy

Quote

RSS feed

Pages

Links

Administration

Visitors

Our Posts

Follow Me:
Twitter
Grab This