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1-214-351-4097

2626 Cole Ave. Suite 300

Dallas, TX 75204

9:00 am - 6:00 pm

Mon - Fri

Commercial Property Insurance Quote
One Simple Form - takes only 2-3 Minutes!
                                   Need Help?     Phone 214-351-4097


Owners Information

*

Required Field

Name:

*

Type if Known

Business Entity Name: if applicable

*

Property Address:

*

City:

*

State:

Zip Code:

*

County:

*

Social Security or Tax ID number

*

Not Required, But may get you a lower rate

HO1 / HOA qualify for issue without SSN and without Credit Score.

Date of Birth

if owner:

Date Established

if other

*

Email:

*

Phone:

*

Alternate Phone:

Property Information

Year Built:

*

     * Purchase Date

Property Type and Usage:

*

Approx Sq Ft.

*

Number of Stories:

*

Number of units:

*

1 2 Specify

Type of Construction

*

Other

Type of Roof:

*

Other

Is there A Pool ?:

*

Yes No

If Yes, Is it Fenced or Gated Yes No

Is the property within 500 ft of a lake, pond or large body of water?

*

Yes No

Nearest Fire Station:

*

  Distance to fire hydrant

Prior Claims? :

*

Type:

Date (mm/yy):

Amount paid:

How is your Credit History?

*

(Some Carriers use credit history to quote)

( Bad Credit is OK, We have programs for all)

Protective Devices?

*

Home Updates?

*

Roof

Electrical

Plumbing

AC / Heat

Current Mortgage?

*

Yes No     (Is their a Mortage on this property?)

Currently Insured?

*

Yes No

Current Insurance Co. Name?

*

Current Annual Premium?

*

Expiration Date?

*

Coverage Requested

Property Coverage.

*

     Property Value

$  

Loss of use   Revenue Coverage

*

Liability Coverage.

*

 

Unscheduled Contents

*

Default is 25 K Non Luxury items

  $ 

Desired Coverage Valuation Method

*

 

Hurricane Coverage Needed?

*

Yes No

Desired Deductible:

*

1 % 2 %

Comments / Remarks (Describe any additional information you feel may be helpful in determining your quote or coverage).

My preferred Contact:

* Email Call by Phone

Thank you for filling out Our Quote Request Form!

Disclaimer Notice: - The premiums quoted are estimates based in the information you provided. If you have any questions or other pertinent information you feel necessary to properly quote your insurance Please feel free to contact our office at the number above for a personalized quote.

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