Business Flood Insurance
* = Required Information
This is not an instant quote website; our prices are too low to list online. Please fill out the quote form to obtain a Business Flood insurance quote, and an insurance specialist will contact you shortly. Please understand this is not an application for insurance. An application will be sent to you if coverage is desired.
Flood Fact Finding Questions
Of the following, what is the primary reason for a quote request? Requesting More Information 
Loan Required 
Replace Investment 
Liability Protection 
Of the following, what is most important to you? Price 
Proper Coverage 
Approximately when was the last time you did a review with your agent? Within the year 
Over 2 years ago 
Over 5 years ago 
Would you be interested in going to higher deductibles to reduce your premium? Yes 
In the event of a lawsuit, accident, or judgment would you want to: Maximize Protection 
Assume Some Risk 
Would you be interested in combining your commercial insurance for additional savings? Yes 
If health insurance is provided for employees, would you like to save money? Yes 
Requesting More Information 
Has your current company/agent failed to meet your expectations in any way? Yes 
What else must I do to earn your business?
Contact Information
First Name
Business Name
Gender Male     Female 
Date of Birth
Business Address
Zip Code
The Best Time to Call?
Best Phone Number to Reach You
Email Address *
Company Information
When Do You Need This Policy To Start?
Type Of Business
Dwelling Replacement Cost
Year Built:
Construction Type
Roof Type
Number of Stories
Square Feet of the Building
Flood Information
Flood Zone
Number of Floors
Number of Units
Is the building in the course of construction? Yes 
Is the building State Government Owned? Yes 
Is this policy required for Disaster Assistance? Yes 
Do You Have an Elevation Certificate? Yes 
Machinery or equipment in Garage? Furnace 
  Air Conditioner 
  Fuel Tank 
  Heat Pump 
  Washer & Dryer 
  Hot Water Heater 
  Elevator Equipment 
  Food Freezer 
Does the Garage Contain Machinery or Equipment? Yes 
Is machinery or equipment elevated to the Base Flood Elevation?
Is the garage used for any purpose other than building access (stairwells, elevators, etc.), parking, or storage? Yes 
Flood Coverage Information
Building Deductible:
Contents Coverage Requested:
Contents Deductible
Location of Contents:
Additional Information: