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McManus Insurance & Financial, LLC

request a business owner insurance quote

business information    * Required Fields
* Name of Insured: 
* Address: 
* City: 
    * State: 
* Zip Code: 
* Business Phone:   Fax: 
* Email Address: 
* Property Address: 
(If different from above)
* Address: 
* City: 
    * State: 
* Zip Code: 

 

current / previous insurance information
Insurance Carrier: 
Policy Renewal Date:    Premium Amount:
Policy Number:
How Long At Present Address:      Years in Business: 
Gross Annual Receipts:          Annual Payroll: 
Description of Products or Services:
Name and Address of Landlord:

 

limits of coverage

Building Building Contents - Equipment, Machinery, Inventory, Supplies Deductible Loss of Income
Money and Securities: Glass or signs: General Liability Limit: Non-owned and Hired
Automobile Liability:		 Is liquor liability needed?
Yes   No
    If Glass Coverage is needed, please provide dimensions:
    List any other types of coverage you may need:

 

property condition

Age of building
/Year Built:		 Type of building
construction:		 Number of
stories:		 Other
occupancies:		 Square feet
you occupy:
sq. ft.
If the building is over 25 years old, please complete the following:
Year Electricity was last updated:

Does all current flow through  
circuit breakers?:

Yes   No

Year Plumbing was last updated:

Are plumbing pipes copper or galvanized?

Copper   Galvanized   Other:

Year building was last re-roofed:

Type of roofing material:

Type of heating system in the building:

 

safety & security

Burglar Alarm: Alarm Monitor: Alarm Company: Sprinkler System:

Smoke Detectors:
Y   N  Central Station
 Local Alarm		 Y   N Y   N

 

comments or questions
Please provide any additional information, special circumstances, and/or ask any questions related to this request for a quote.

Click the "Submit Request" button below to send your information.
One of our representatives will respond to your request as soon as possible.

 

  

 

McManus Insurance & Financial, LLC
PO Box 62, Timonium, MD 21094
Phone: 410-308-3699
Fax: 410-308-8779
info@mcmanus-insurance.com