25329 Interstate 45 N, Suite 101 The Woodlands, TX 77380

1-866-TEXAS-45
(1-866-839-2745)

Our Texas Insurance Policies & Coverages

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Texas Business Owners Package Insurance for Texas Based Businesses

Business Owners Package - Texas BOP Insurance

We would like to provide you with a free, no-obligation commercial auto insurance quote. Please provide as much information possible for the most accurate quote. This information will be kept confidential and will be used for quote purposes only.

Please provide the following information:

Insured Information

Name
Business Name

Type Of Business

(Sole Prop/Inc/LLC/Other)
Street Address
City
State/Province
Zip/Postal Code
County
Garaging Address
Garaging - City
Garaging - State/Province
Garaging - Zip/Postal Code
Garaging - County
Work Phone
Home Phone
Tax ID # or Social
FAX
E-mail

Currently Insured?
(If yes, list carrier, and # of years
continuous. If none, type NONE)
List Claims & Amounts Paid
(If none, type NONE)
Years In Business:
Business type:
(proprietorship, corporation, etc.)
Underwriting Information:
Describe IN DETAIL ,
Your Business Operations:
Ownership & Payroll Data:
List Employee's Annual Payroll Here (if none, enter $0): $ Insert # of
Employees here:
Location & Sales Information:
Insert Annual Gross Revenues from this operation here: $ Square Footage of office or business location:
Type of Building (wood frame, concrete, etc.): Number of Stories:
Are there other business/residences in this building (describe)?: Describe safety features (alarm, sprinklers, fire protection, etc):
Coverage Desired: (Check One Please)
The Coverage I Am Looking For: Liability Only
 Liability & Business Contents
 Liability, Building & Contents Coverage
 A Package Policy Including the Above,
Plus Miscellaneous Coverages
If you are not exactly sure about coverage type... we will suggest the best coverage for you - just try to tell us what you are looking for! (If we need more info. we will let you know.)
Liability Coverage:
($300,000, $500,000, $1 Million, etc.) 		$
Business Contents Coverage:
(The amount of your personal business property) 		$
Building Coverage:
(The amount of building coverage if you own your bldg.) 		$
Miscellaneous Coverage:
(List any special coverage peculiar to your business, such as Computer Coverage, Loss of Earnings, Valuable Papers, etc.)
Comments

My preferred Method of Contact:

*

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