Ace Underwriting Group
Commercial Quote Request

On this page, Ace Underwriting group provides quotes for
 
Florida customers only.
If you have property or operations in
Florida then please continue...


Our commercial staff is ready to quote your insurance needs. Just fill in the info below.
Thanks for the opportunity to assist your business!
Information disclosed will be held in strict confidence - see privacy notice below

1. Please provide the following contact information:

            Name  < Required
           Title 
    Company name  
  Street address  < Required
 Address (cont.)  < Required
            City  < Required
  State/Province  < Required
 Zip/Postal code  < Required
         Country 
      Work Phone  < Required
             FAX 
          E-mail  < Required
             URL 

2. Choose one of the following business types:


3. Briefly describe your operations:


4. How many people do you employ... ?

5. Of these employees...how many are owners, partners or corporate officers?

6. What is the weekly average payroll of the employees (do not include payroll for those included in question 5) ?


7. For businesses with premises open to the public, what is your total area in square feet?


8. Choose one of the following Liability limits:


9. Enter the name of your current Insurance Company.


10. Enter the date of your current policy expiration. -- mm/dd/yy

11. Enter the best time to contact you (9a-5p).

12. Enter the year your building was constructed.

13. Choose one of the following building types:


14. Select any of the following protective systems that are installed at your property:

fire extinguisher (manual)
automatic fire extingusiher (ansul)
Halon system
sprinkler system
fire alarm (local gong or bell)
central station fire alarm (calls fire dept)
burglar alarm (local gong or bell)
central station burglar alarm (calls police)
video cameras
alarmed safe/vault (permanently mounted)
other protective system (describe below)

15. Enter the dollar amount for coverage on your building?


16. Enter the dollar amount for coverage of your business personal property (contents).


17. Enter your annual gross sales.


18. Any other pertinent information? Please list here...

 

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(Privacy Notice: Information disclosed here will be shared with insurance companies and their general agents for the purposes of quoting and obtaining an insurance policy for you.  Quotation and policy issuance will be based upon your disclosures and their accuracy.  Ace Underwriting Group will not share this information with any third party beyond that which has been stated above or by governmental order.   Ace Underwriting Group, its officers, agents and employees, shall not be liable for information disclosed by you that is inaccurate or otherwise incorrect as transmitted to us and supplied on your behalf to insurers.  Disclosure policies of various insurance companies and their general agents are available upon request and will be supplied automatically upon issuance of an insurance policy.  For further information, please call our customer service center at  (954) 581-0202.)

(c) 1997, 2002 Sensible Software Systems, inc.
an Ace Underwriting Group Company
Last revised:08/10/2002