You can also call us to get a quote by phone or to have any of your questions answered
888-900-9989
Day(s) Hours
Monday - Thursday 7:00 a.m. - 7:00 p.m.
Friday 7:00 a.m. - 5:00 p.m.
  • Covers real property, land, and the buildings on it
  • Outdoor fixtures, permanently installed fixtures and machinery are among items covered
  • Property is any item that has value
  • Property in the care of a business is also covered
More Info >>

 

Business Name  Quote Needed By
   
Owners Name  Years Of Exp.
 
Address (No P.O. Box)
City  State  Zip  County
     
 Phone Number  Fax Number  Cell/Pager Number
   
Active E-mail Address
Preferred Method Of Contact
    Mail:    Fax:    Phone:    E-mail:  
Lic. # or App. Fee # Classification Entity (check one)

Partnership
Sole Owner
Corporation
Business Type  Business Description  Prior Carrier
   
Years of Continual Coverage    Expiration Date
      
Was your company ever had a claim  Yes  No 
Was policy canceled or non renewed  Yes  No 
Number of owners/officers    Own or lease office   Own  Lease
Number of locations    Year Established  
Numbers of employees  
Description of business operations
Do you currently have Businessowner's insurance?  Yes  No 
When does your insurance expire?    /  
Building coverage limits    Building content limits  
Annual gross revenue    Annual gross payroll  
Building square footage    Occupied square footage  
Have you had any claims in the last 3 years?  Yes  No 
Please Explain
How did you hear about Skyles Insurance Agency?
    Construction Services    Economy Bonds Mail Flyer
    Post Card Friend Already a Customer
    Web Search Phonebook    
    Other:  
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