Call 419.425.4200
contact name *
city
state
zip
email *
ARK Business Insurance Quote
general information
county
business name
address
business phone
business fax
do you currently have business insurance?
current insurance
company name
expiration date
annual premium
current coverages
business information
number of full-time employees
number of part-time employees
number of years in business
please give a brief description of your business and clientele
number of locations
property / premises information
address
occupancy status
year built
other property (specify)
% occupied
sprinklers
construction type
number of stories
number of basements
burglar alarm
building value
contents
square footage
insurance information
annual gross sales (before taxes)
annualized payroll
cost of any subsontract work
limits requested
please describe any claims you've had in the past 5 years
number of employees
additional comments
* indicates required fields
Disclaimer Notice - The premiums quoted are estimates based on information you provided. This quotation does not constitute a contract of insurance, nor does it provide coverage for any loss or claim. Coverage can only be bound by an agent with a signed application and a down payment. For immediate assistance contact an ARK agent at 419-425-4200.
