Business Insurance         Business Insurance and Commercial Insurance:

We give our undivided attention to your business and commercial Insurance needs. Due to the many types of exposure in the operation of your business, whether its retail, manufacturing, services, wholesale, office, habitation, or professional, we look at each risk to determine the proper coverage's needed and match them with the Company or Companies offering the most Comprehensive Coverage at the lowest prices.

By completing the following form, we will be able to determine the right bond and limit of liability insurance to fit your needs.

Name
Social Security Number Date Of Birth
DBA Your business name
Address City State Zip
Phone
How Long in Business
Is the Business Corporation  Partnership Individual
Years in this type of work
Number of  employees
Annual Revenue Annual Payroll
Type of construction (circle all that apply)

Roofing, Drywall, Framing, Plumbing, Landscaping, General Carpentry, Electrical, Floor Covering, Siding, Painting – residential, commercial, interior, exterior.

We also have Financing available for premiums.

For Business, Commercial, and Professional Insurance: We need to know

Name
DBA Your Business Name
Address City State Zip
Phone  
Business Address City State Zip
Business Phone

Nature of Business Profession

 

 

Years in Business Years of Experience
Number of Employees
Annual gross revenue Annual Payroll
Premises Owner Tenant
Business Property Fixtures, Equipment, etc (please list)

Home Quote  Services  Background  Directions  Contact Us

Copyright©  Western Benefits Insurance Agency, Inc. All rights reserved 03/03/04