Name of Business: Type Business: Retail Wholesale Manufacturing Assembly Service Office
IF MORE THAN ONE LOCATION/BUILDING CONTACT US
Building Construction:
Values: Building $ Furniture & Fixtures $ Machinery $ Inventory $ ;(large fluctuation, Yes No )
Protection: Responding Fire Dept.: Distance: Miles Hydrant within 1,000 ft: Yes No Sprinklered: Yes No Alarms: Burglar Fire Fire & Burglar None Central Station Alarm: Yes No
Liability: Limit Desired: $100,000 $300,000 $500,000 $1,000,000
Rating Info: Annual Sales: $ Subcontracted Work $ Annual Payroll: $ Number of Employees: Years in Business
Contact our office for Crime or Fidelity Bond coverage.
