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Free Quote For Business in Bucks County, PA. & the Delaware Valley

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Your Personal Data

Name:

Property Address

City

State

Zip Code

Email Address

Phone Number

Fax Number

Underwriting Information

Underwriting Information

Nature of your business

Type of business:

How many owners?

How many employees?

Payroll amount of owners?

Payroll amount of Employees?

Total annual gross:

Business license number:

Years of experience in this business:

Years under current business name:

Have you used other business names?

Are you open 24 hours a day?

Any deep frying (food)?

Is there manufacturing, mixing, relabeling, or repackaging of products?

Is there filling of propane tanks?

Describe ANY usual exposures your business may have:

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Building & Property Info

What is the total square footage of the building your business?

What is the total square footage of your business only?

What is the square footage of the customer area only?

How many stories is it?

If it's two stories, what is the ground floor square footage?

What is the construction type?

What type roof covering?

If roof was updated, what year?

What is the distance of fire protection?

Is the business in a brush area?

Do you have a storage area more than 1500 Sq. Ft.?

Are there smoke detectors at this location?

Are there fire extinguishers?

Are there deadbolts on all doors?

Are there circuit breakers?

Is the electrical updated?

Is the heating/ air conditioning thermostatically controlled?

Is the heating/ air conditioning central?

Has the plumbing been updated?

If yes, what year was the plumbing updated?

Does the building have interior automatic fire sprinklers?

Is there a theft alarm?

Is there a fire alarm?

Are there any restaurants in your building?

Are there any restaurants in the building next to your business?

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Claims Information

Where there any losses or claims in the last 5 years?

If yes, what is the date, amount paid and description of each loss or claim?

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Coverages Information

What is the current insurance company?

How much are you paying now?

What is the liability limit requested?

What is the building limit requested?

What is the building deductible requested

What is the business personal property (contents) limit requested?

What is the contents deductible requested?

What is the loss of income requested?

Are there any questions, comments or additional coverage required?

Please let us know the best time to call and discuss your quote.

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We will get back to you as soon as possible.

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Contact Information

349 Bustleton Pike, Feasterville, PA 19053

rreinard@reinardinsurance.com

215-357-8600

215-357-8061

Mon-Thu 8:30 AM - 4:30 PM

Fri 8:30 AM - 3:00 PM

Sat-Sun - Closed

Location

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