CEROW AGENCY, INC. | online quotes

Business Insurance Quote Form

Please complete the following form and click the "Submit" button for a FREE business insurance quote. Final premium is subject to verification of information and inspection, and coverage can only be bound by authorized rep. All information provided will be held in strictest confidence and used only for the purpose of providing an accurate rate for this specific policy.

Business Name
Contact Name
Mailing Address
City
State
Zip Code
Physical Address of Insured Property (If Different Than Mailing Address)
City
State
Zip Code
E-Mail Address
Federal ID # or Social Security #
Telephone Number
# Years in Business
Previous Claims	describe...
Type of Business	describe...
Annual Receipts
Annual Payroll
# of Employees

Current Insurance
Ins. Company Name
Present Premium

Building Information
Year Built
Construction (Wood, Brick, Etc.)

Location Information
Miles To Fire Department:

Limits of Coverage
Building	Replacement Cost Actual Cash Value
Deductible
Business personal property
Loss of income
Liability
Other Coverages	Please Describe...

Remarks	Include any other information that would be helpful for us to better understand your insurance needs.
Do You Request an Umbrella Liability Quote*?	Yes No

A personal umbrella liability policy is an excess policy that provides LIABILITY over-and-above the current limits of your existing automobile, homeowner, watercraft, snowmobile (etc) liability coverage. It also can fill in any gaps you may have in your primary policies. The umbrella limit starts at $1Million and can be increased at your option. Annual premium can be as low as $200 (depending on your underlying exposures). That's a great price for a good night's sleep, knowing your liability exposures are well cared for. Due to the complexity of some business insurance programs, we may need to follow-up for more information. Feel free to call or email us if you want to set up an appointment. AUTO* \| HOME \| BOAT \| BUSINESS

CEROW AGENCY, INC.
221 JOHN STREET • CLAYTON, NY 13624 • (315)686-3111 • FAX (315)686-3596
20 WALTON STREET • ALEXANDRIA BAY, NY 13607 • (315)482-3002 • FAX (315)482-3010