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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 Service 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 Never

Would you be interested in going to higher deductibles to reduce your premium?	Yes No

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 No

If health insurance is provided for employees, would you like to save money?	Yes No Requesting More Information

Has your current company/agent failed to meet your expectations in any way?	Yes No

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

Fax

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 No

Is the building State Government Owned?	Yes No

Is this policy required for Disaster Assistance?	Yes No

Do You Have an Elevation Certificate?	Yes No

Machinery or equipment in Garage?	Furnace
	Air Conditioner
	Fuel Tank
	Heat Pump
	Washer & Dryer
	Cistern
	Hot Water Heater
	Elevator Equipment
	Food Freezer
	Other

Does the Garage Contain Machinery or Equipment?	Yes No

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 No

Flood Coverage Information


Building Deductible:

Contents Coverage Requested:

Contents Deductible

Location of Contents:

Additional Information: