GENERAL LIABILITY QUOTE Getting a General Liability quote is simple and fast. Once we collect the information needed to request quotes from different insurance carriers, we can typically provide at least one quote within 5 to 10 minutes. Please fill out as much information as possible so we can process your request quickly and accurately. If you need assistance, please call 361-756-5020 or text 361-219-8751. Thank you! GL Effective Quote Date ? If you like the quote, when do you want coverage to start? This is usually either "today's date" or your existing insurance "due date" or "term expiration date". Your Name ? Enter your full name as it appears on your ID. Relationship to OWNER: SelfSpouseChildParentGrand-ParentGrand-ChildRelativeFriendOther Your Email Your Phone Number Business Main Physical Location: Street # & Street Name CITY / STATE / ZIP Does the Business have Muti-Business Location(s)? YESNO Business Mailing Address: PO BOX / Street # & Street Name City / STATE / ZIP Are you leasing the location(s)? YESNO BUSINESS INFORMATION: Name(s) of Owner(s)? Type of Business? Sole PropietorshipPartnershipLLCC-CorpS-Corp Do you have a DBA?YesN/A What is the name of your business? When was the business establish? Please describe your daily work? What is your annual Gross Revenue? What is your annual Payroll? How many Employee(s) do you have? Do you have movable equipment? YesNoN/A If yes, how many pieces of equipment do you have? Do have Commercial Auto insurance? YESNON/A How much General Liability Insurance do you need? Do Not Know$250,000$500,000$750,00$1,000,000$2,000,000$3,000,000$4,000,000$5,000,000
