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“Thanks for saving my company almost $400 per year on my business liability insurance - it was much needed in this tough economy! I recommend you to my friends and associates.” M.E., Barrington, NH

NH business insurance quote “I got a quote, and then my certificate of insurance, all within hours of my call. Not only that, you saved me almost 30% over what I was paying - thanks again!” J.H., Rochester, NH

business insurance quote “Being a new business, most agents I called for a quote had no market or would not even call me back. I was surprised to get a great price from you right on the phone - AND place coverage the same day!” G.H., Farmington, NH

Commercial Property Insurance Quote Form One Simple Form - takes only 2-3 Minutes!

Your Name:
Business Name:
Property Address:
City:
State: (Must be New Hampshire)
Zip/Postal:
E-Mail (REQUIRED):
E-Mail (again for accuracy):
Phone:
Fax (optional):

OPT-OUT SELECTION: We realize your time is valuable. Rather than fill in all the underwriting information below, would it be easier to have us call you? If so, you can check the "Opt-Out" box above, press the send button at the bottom of this form, and have a friendly agent call you. If possible, please have your current policy handy as this has helpful information we may need. If you want to continue the complete online quoting process, do NOT check the box and please continue below.


Dwelling Information

Year Building Built:
Building Square footage:

Occupancy:	Owner Tenant

Occupancy Type: (describe entities & and number of units, such as "4 unit apartment" or "2 offices and barber shop", etc.)

Type foundation:	Slab Crawlspace over slab Pier & Post Other (list in remarks)

Type finished basement, if any:	None Full 25% 50% 75%

Type Roof:	Shingle Wood Shake Tar/Gravel Spanish Tile Metal Other

Type of Siding	Brick Vinyl Wood Aluminum

Number of stories:	One Two Three 4 or more

# of feet to nearest fire hydrant:	# of miles to nearest fire station:

Currently Insured?	Yes No
Name of Carrier & how long insured?

Prior Claims?	Yes No
Describe claims in detail:

Plumbing type:	Copper Galvanized Mixed (Copper/Galvanized)

Coverages:

Building Cov. $ Contents $

Liability Cov. $ Deductible $
($250, $500, $1,000, etc.)

Other Coverage/Remarks
(describe any extra coverages needed such as business interruption, robbery, computers, etc.):

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Thank you for filling out this form COMPLETELY!
We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

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