Commercial Insurance Quote | Lee Insurance Agency

Step 1 of 29

General Company Information

Business Name(Required)

Industry(Required)

Business Address(Required)

Street Address City State ZIP Code

Business Website

Federal Employer Identification Number (FEIN)

Primary Contact Name(Required)

Primary Contact Phone(Required)

Primary Contact Email(Required)

Current Insurance Provider Information

Name of Current Insurance Provider

Policy Number

Policy Expiration Date

MM slash DD slash YYYY

Policy Premium

Church Information

Denomination

Year Founded

Estimated Annual Revenue

Do you have more than 1 location?

Childcare Information

Year Founded

Estimated Annual Revenue

Do you have more than 1 location?

Funeral Home Information

Year Founded

Estimated Annual Revenue

Do you have more than 1 location?

Auto Shop Information

Year Founded

Estimated Annual Revenue

Do you have more than 1 location?

Contractor Information

Year Founded

Estimated Annual Revenue

Number of Employees

Do you have more than 1 location?

Restaurant Information

Year Founded

Estimated Annual Revenue

Number of Employees

Do you have more than 1 location?

Property Information

Do you own your building?

Name of Building

Property Address(Required)

Same as Business Address above

Street Address City State ZIP Code

Year Built

Type of Construction

Square Feet

Does property have an Alarm?

Does property have Smoke Detectors?

Does property have Emergency Exit Lighting?

Does property have Sprinkler System?

Does property have Commercial-Grade Kitchen?

Estimated Value of Playground Equipment

Estimated Value of Owned Kitchen Equipment

Estimated Value of Furniture

Estimated Value of Tools

Are tools and equipment properly stored and secured when at your place of business?

Are tools, equipment or materials left overnight at job sites?

Add a second building?

Building 2 Information

Name of Building

Property Address(Required)

Street Address City State ZIP Code

Year Built

Type of Construction

Square Feet

Does property have an Alarm?

Does property have Smoke Detectors?

Does property have Emergency Exit Lighting?

Does property have Sprinkler System?

Does property have Commercial-Grade Kitchen?

Estimated Value of Playground Equipment

Estimated Value of Owned Kitchen Equipment

Estimated Value of Furniture

Estimated Value of Tools

Are tools and equipment properly stored and secured when at your place of business?

Add a third building?

Building 3 Information

Name of Building

Property Address(Required)

Street Address City State ZIP Code

Year Built

Type of Construction

Square Feet

Does property have an Alarm?

Does property have Smoke Detectors?

Does property have Emergency Exit Lighting?

Does property have Sprinkler System?

Does property have Commercial-Grade Kitchen?

Estimated Value of Playground Equipment

Estimated Value of Owned Kitchen Equipment

Estimated Value of Furniture

Estimated Value of Tools

Are tools and equipment properly stored and secured when at your place of business?

Add a fourth building?

Building 4 Information

Name of Building

Property Address(Required)

Street Address City State ZIP Code

Year Built

Type of Construction

Square Feet

Does property have an Alarm?

Does property have Smoke Detectors?

Does property have Emergency Exit Lighting?

Does property have Sprinkler System?

Does property have Commercial-Grade Kitchen?

Estimated Value of Playground Equipment

Estimated Value of Owned Kitchen Equipment

Estimated Value of Furniture

Estimated Value of Tools

Are tools and equipment properly stored and secured when at your place of business?

Add a fifth building?

Building 5 Information

Name of Building

Property Address(Required)

Street Address City State ZIP Code

Year Built

Type of Construction

Square Feet

Does property have an Alarm?

Does property have Smoke Detectors?

Does property have Emergency Exit Lighting?

Does property have Sprinkler System?

Does property have Commercial-Grade Kitchen?

Estimated Value of Playground Equipment

Estimated Value of Owned Kitchen Equipment

Estimated Value of Furniture

Estimated Value of Tools

Are tools and equipment properly stored and secured when at your place of business?

Church Liability

Average Weekly Attendance

Number of Paid Employees

Is there a youth group provided?

How many Students attend weekly?

Is youth group taught by:

Are all adults working with youth background checked?

Do you have a written procedure for dealing with any accusations of sexual misconduct and physical abuse?*

Is there a nursery available during house of worship activities?

Do you own or have access to a playground?

Is it fenced?

Is there a Childcare Center?

How many children under 24 months?

How many children 2 years to 3 years?

How many children 3 years to 4 years?

How many children 4 years to 5 years?

How many after schoolers?

Does the organization own any vans or buses?

Childcare Liability

Total Number of Students

Number of Paid Employees

Are all adults working with youth background checked?

Do you have a written procedure for dealing with any accusations of sexual misconduct and physical abuse?*

Do you own or have access to a playground?

Is it fenced?

How many children under 24 months?

How many children 2 years to 3 years?

How many children 3 years to 4 years?

How many children 4 years to 5 years?

How many after schoolers?

Do you provide Drop-in Services?

Is food properly prepared, covered, stored, and served in accordance with applicable government requirements?

Are immunization records updated annually?

Do you require signed releases for emergency medical treatment?

Do you require written instructions from the child’s physician for dispensing medication?

Does the business own any vans or buses?

Funeral Home Liability

Number of Employees

Total Number of Services Held Annually

Does the applicant own a cemetery?

How many acres is the cemetery?

How many plots in the cemetery?

Does the applicant operate a crematory?

How many years of experience does the Crematory Operator have?

Do you handle/store credit card information of others?

What are your hours of operation?

Does the business own any vans or buses?

Auto Shop Liability

Total Number of Service Bays

Do you have any mobile operations?

Do you have a salvage lot?

Do you repossess autos?

Do you own a tow truck?

Do you own frame straightening equipment?

Are customers allowed in service area?

Do you install or modify trailer hitches?

Do you recap tires?

Do you have surveillance cameras?

Are customer's autos secured when unattended?

Are customer's keys secured with restricted access?

What is the average value of customer's cars on the premises?

What is the average number of vehicles stored inside building?

What is the average number of vehicles stored outside building?

Do you test drive customers' autos?

Do you have smoke detectors in service bays?

Do you paint autos?

Is all painting done in approved booths?

Do you ever install used/salvage parts?

Percentage of Overall Business from Tire Sales

Select Types of Vehicles Serviced

Private Passenger/SUV/Lt Truck

Vehicles with 10-25k GVW

Watercraft (Boats, Jet Skis, etc.)

Farm/Contractor Equipment

Antique/Classic Cars

Motorhomes/RV's

High Performance Vehicles

Other types of Recreational Auto

Do you provide shuttle service?

Do you provide loaner vehicles?

Does the shop own any automobiles, trucks, or vans?

Contractor Liability

Type of Work Performed

Commercial

Industrial

Residential

Type of Residential Work

New tract homes

New custom homes

Condos/Townhomes

Apartments

Existing Residential

State(s) Work is Performed In

Percentage of Work Subcontracted

Are these subcontractors insured?

Annual Cost of Subcontractors

What type(s) of contracting do you do?

HVAC

Electrical

Concrete

Swimming Pool Service

Plumbing

Landscaping

Roofing

Pest Control

Movers

Other

Type(s) of Electrical Work

Electrical Machinery Installation, Service or Repair

Electrical Power Lines

High Voltage Work (over 480 Volts)

Security Systems or Alarm Installation

Installation of Transformers, Electrical Panels, or Electrical Motors

Traffic Signal Work

Underground Cable Work

Type(s) of Concrete Work

Commercial Foundations above 3 Stories

Residential Foundations

Street, Road or Alley Operations

Tilt Work above 2 Stories

Mix in Transit Operations

Type(s) of HVAC Work

Boiler Work

Systems using LP Gas as an energy source

Rooftop Units

What's the highest floor level you access rooftop units on?

Type(s) of Landscaping Work

Fertilizer, Herbicide, Pesticide Spraying

Outdoor Fireplaces

Tree Trimming from the ground

Tree Trimming from above the ground

Tree Removal

Hardscapes

Pool Services

Sprinkler System Installation/Repair

What percentage of your business is lawn maintenance?

What percentage of your business is landscape & design?

Type(s) of Plumbing Work

Interior Sprinkler System Installation

Underground Sprinkler Installation

Medical Gas Work

Process Pipe Work

Sewer Main Work

Water Main Work

Does the business own any automobile, trucks, or vans?

Restaurant Liability

Type of Establishment

Family-style Restaurant

Fine Dining

Fast Food

Deli

Bar

Annual Food Sales

Annual Alcohol Sales

Annual Catering Sales

Weekday Hours of Operation

Weekend Hours of Operation

Total Number of Employees

Is there Catering operations?

Percentage of On-Premises Catering

Percentage of Off-Premises Catering

Total Square Footage of Building

Is this a BBQ restaurant?

Is this a microbrewery?

Do you rent space for banquets/parties?

Is BYOB (bring your own beer) permitted?

Do you have a Happy Hour?

How many hours per day?

Please check any/all that apply to your establishment

Live Entertainment

Dance Floor

Mechanical Devices

Cover Charge

Live Sports on Premises

Playground

Hatchet/Axe Throwing

What is your typical clientele?

What is their median age?

In the past five years, has applicant been cited by the Liquor Control Commission?

Are police records and background checks conducted on employees?

Number of Bouncers, Doormen, and/or Security Personnel

Are bouncers, doormen or security personnel independent contractors?

Does the restaurant own any automobiles, vans, or trucks?

Auto Information

Vehicle VIN Number

Vehicle Year

Vehicle Make

Vehicle Model

Vehicle Value

Is this a 15-passenger vehicle?

Does this vehicle require Full Coverage?

Driver's Name

First Last

Driver's Date of Birth

MM slash DD slash YYYY

Driver's License Number

State of Issuance

State

Add a second driver?

Second Driver's Name

First Last

Second Driver's Date of Birth

MM slash DD slash YYYY

Second Driver's License Number

State of Issuance

State

Add a second vehicle?

Auto 2 Information

Vehicle VIN Number

Vehicle Year

Vehicle Make

Vehicle Model

Vehicle Value

Is this a 15-passenger vehicle?

Does this vehicle require Full Coverage?

Driver's Name

First Last

Driver's Date of Birth

MM slash DD slash YYYY

Driver's License Number

State of Issuance

State

Add a second driver?

Second Driver's Name

First Last

Second Driver's Date of Birth

MM slash DD slash YYYY

Second Driver's License Number

State of Issuance

State

Add a third vehicle?

Auto 3 Information

Vehicle VIN Number

Vehicle Year

Vehicle Make

Vehicle Model

Vehicle Value

Is this a 15-passenger vehicle?

Does this vehicle require Full Coverage?

Driver's Name

First Last

Driver's Date of Birth

MM slash DD slash YYYY

Driver's License Number

State of Issuance

State

Add a second driver?

Second Driver's Name

First Last

Second Driver's Date of Birth

MM slash DD slash YYYY

Second Driver's License Number

State of Issuance

State

Add a fourth vehicle?

Auto 4 Information

Vehicle VIN Number

Vehicle Year

Vehicle Make

Vehicle Model

Vehicle Value

Is this a 15-passenger vehicle?

Does this vehicle require Full Coverage?

Driver's Name

First Last

Driver's Date of Birth

MM slash DD slash YYYY

Driver's License Number

State of Issuance

State

Add a second driver?

Second Driver's Name

First Last

Second Driver's Date of Birth

MM slash DD slash YYYY

Second Driver's License Number

State of Issuance

State

Add a fifth vehicle?

Auto 5 Information

Vehicle VIN Number

Vehicle Year

Vehicle Make

Vehicle Model

Vehicle Value

Is this a 15-passenger vehicle?

Does this vehicle require Full Coverage?

Driver's Name

First Last

Driver's Date of Birth

MM slash DD slash YYYY

Driver's License Number

State of Issuance

State

Add a second driver?

Second Driver's Name

First Last

Second Driver's Date of Birth

MM slash DD slash YYYY

Second Driver's License Number

State of Issuance

State

Worker's Compensation / Church

Number of Clergy

Total Annual Payroll of all Clergy

Number of Office/Admin Staff

Total Annual Payroll of all Office/Admin Staff

Number of Teachers

Total Annual Payroll of all Teachers

Number of Maintenance/Janitorial Employees

Total Annual Payroll of all Maintenance/Janitorial Employees

Worker's Compensation / Childcare

Number of Office/Admin Staff

Total Annual Payroll of all Office/Admin Staff

Number of Teachers

Total Annual Payroll of all Teachers

Worker's Compensation / Funeral Home

Number of Office/Admin Staff

Total Annual Payroll of all Office/Admin Staff

Number of Funeral Directors

Total Annual Payroll of all Funeral Directors

Number of Funeral Assistants

Total Annual Payroll of all Funeral Assistants

Number of Office Drivers

Total Annual Payroll of all Office Drivers

Number of Undertakers

Total Annual Payroll of all Undertakers

Number of Grounds Keepers

Total Annual Payroll of all Grounds Keepers

Worker's Compensation / Auto Shop

Number of Office/Admin Staff

Total Annual Payroll of all Office/Admin Staff

Number of Auto Mechanics

Total Annual Payroll of all Auto Mechanics

Worker's Compensation / Contractors

Number of Office/Admin Staff

Total Annual Payroll of all Office/Admin Staff

Number of Technicians

Total Annual Payroll of all Technicians

Worker's Compensation / Restaurant

Number of Office/Admin Staff

Total Annual Payroll of all Office/Admin Staff

Number of Servers

Total Annual Payroll of all Servers

Number of Cooks

Total Annual Payroll of all Cooks

Number of Dishwashers

Total Annual Payroll of all Dishwashers

Business Insurance

Personal Insurance

General Company Information

Current Insurance Provider Information

Church Information

Childcare Information

Funeral Home Information

Auto Shop Information

Contractor Information

Restaurant Information

Property Information

Building 2 Information

Building 3 Information

Building 4 Information

Building 5 Information

Church Liability

Childcare Liability

Funeral Home Liability

Auto Shop Liability

Contractor Liability

Restaurant Liability

Auto Information

Auto 2 Information

Auto 3 Information

Auto 4 Information

Auto 5 Information

Worker's Compensation / Church

Worker's Compensation / Childcare

Worker's Compensation / Funeral Home

Worker's Compensation / Auto Shop

Worker's Compensation / Contractors

Worker's Compensation / Restaurant

The Premier Insurance Agency for Atascocita & Beyond

Providing Personal & Business Insurance in Atascocita & Beyond Since 1952.

Business Insurance

Personal Insurance

General Company Information

Current Insurance Provider Information

Church Information

Childcare Information

Funeral Home Information

Auto Shop Information

Contractor Information

Restaurant Information

Property Information

Building 2 Information

Building 3 Information

Building 4 Information

Building 5 Information

Church Liability

Childcare Liability

Funeral Home Liability

Auto Shop Liability

Contractor Liability

Restaurant Liability

Auto Information

Auto 2 Information

Auto 3 Information

Auto 4 Information

Auto 5 Information

Worker's Compensation / Church

Worker's Compensation / Childcare

Worker's Compensation / Funeral Home

Worker's Compensation / Auto Shop

Worker's Compensation / Contractors

Worker's Compensation / Restaurant

The Premier Insurance Agency for Atascocita & Beyond