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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

On-Line Commercial Umbrella Liability Insurance Quote Form One Simple Form - takes only 2-3 Minutes! Your Personal Data
Your Name:
Business Name:
Property Address:
City:
State: (Must be New Hampshire)
Zip/Postal:
E-Mail (REQUIRED):
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.

Underwriting Information

Date Coverage Needed:

Prior Carrier:

Describe Business(es):

Gross Annual Receipts:	$

Gross Annual Payroll:	$

Number of Employees:

Describe Location(s) You Want to Cover:

Square Footage of Your Business Location(s):

Describe Any Vehicles You Want to Extend Coverage to:

Tell us what kind of umbrella coverage you are looking for, and why:

Prior Claims?	Yes No
Describe claims in detail:

Limits & Coverages:

Liability Limits You
Are Looking For: $1 Million $2 Million
$5 Million $10 Million

Comments/Remarks:

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Regular Mail
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