Auto Insurance moving ball  Franchise Business Insurance  Auto Insurance moving ball

For Southern California Franchise Businesses only.

Click the SUBMIT button to receive your free quote. Remember should you wish to speak to a live person you can always phone us at 888-MY-INS-GUY/888-694-6748 (M-F 8:00 - 5:00).

Customer Information
Franchise
Contact Name
Company
E-mail
Street address
City
County
State
Zip Code
Home Phone
Work Phone
FAX

Address of Property (if different from above):
Address
City
County
State
ZipCode

Building Description
Year Built
Construction Type
Building Type
Basement Type
Air Conditioning
Parking Type
Enclosed Parking Sq.Footage
Building Sq.Footage
Elevators Yes No
Building Owner Occupied Yes No
Loss of Income/Rents Yes No
Building Sprinklered Yes No
Enclosed Access? Yes No

Coverage Limits
Building Coverage
Contents Coverage
Liability Limits
Deductible Options
Fire Legal
Property of Others
Exterior Signs
All Exterior Glass
Employees at Location Full Time Part Time
Employee Dishonesty
Spoilage
Earthquake Yes No
Building Laws Yes No
Water Damage Yes No
Hired Auto Yes No
Employer's Non-Owned Auto Yes No
Heating & Air Conditioning Equipment Basic Broad Heating Boilers

Have you had any Building losses within the last three years?

Insurance Information
Current Insurance
Expiration Date

Reporting Method
How would you like to receive
your free Franchise Business quote?		 U.S.Postal E-mail Fax

 

Home Page | E-Mail

 Gary Jones Insurance Agency  CA License #0E22842  insure@iinsureit.com
 508 Main Street  310-615-0940 Phone  888-MY-INS-GUY
 El Segundo, CA 90245  310-615-0994 Fax  888-694-6748