Business Insurance Quote Please use the form below to request a quote from RiverLink Biz for your business insurance. We will review your information and get in touch with you to discuss your options. Business Insurance Quote What types of business insurance are you looking for? * Property/Casualty Insurance General Liability Commercial Auto Commercial Property Cyber-Liability Professional Liability Directors and Officers Liability Business Owners Package (BOP) Workers Compensation Commercial Crime Employee Benefits Group Health Insurance Group Life Insurance Group Disability Insurance 401K / Retirement Plans Key Person Life Insurance Deferred Compensation Executive Benefits Business Info Business Name * How did you hear about us? Name of person who handles insurance * Phone * Email * Address * Address Address Address City City State State Zip Zip Website Address Description of business operations What kind of entity is the business? LLC Sole Proprietor/Individual Corporation Partnership How many years of experience in the industry does management have? When did the business start operations? What is the FEIN or Tax ID #? Does your business require any special licenses, if so what are they, and do you have a license number? Annual gross revenue for the business Average monthly payroll Number of full / part time employees Property Is your location/building owned or leased? Owned Leased Does the building have a fire sprinkler system in the ceiling? Yes No What is the square footage of your location? How much of your total square footage is open to the public? How much coverage would you need for all the stuff inside your business like tools, office furniture, equipment, inventory? Basically, everything you would take with you if you moved locations? Does your business require and special tools or equipment, if yes what are they, and how much would you need to replace them? Vehicles Do you have any vehicles used for your business? Yes No Driver Info for all drivers Name Driver's License # Date of Birth Add Remove Vehicle Info Year Make Model VIN # Add Remove Trailer Info Type Length Value Add Remove If your vehicles have any special equipment, wraps, tool boxes, or radios, what was added and how much did it cost? What company is the business currently insured with for general liability, work comp, auto, building, property, ect? How much are they charging you? When do your policies renew? Other than price what is the most important thing to you about your commercial insurance package? Have you had any claims in the last 5 years? If yes can you please let us know what happened, how it was fixed, and if any measures were taken to prevent it from happening again? In connection with this application for insurance, we may review your credit report or obtain or use a credit-based insurance score based on the information contained in that credit report. We may use a third party in connection with the development of your insurance score. * I Agree You will be receiving a Privacy Notice that gives you the choice of opting out of allowing us to share your consumer report information, such as your credit-based insurance score or loss history, among our affiliates. In the interim, may we use the consumer report information we currently have on file for you for this specific transaction? You will still be able to opt out of any future sharing. * I Agree If you are human, leave this field blank. Send
