Free Business Quote
Contact Name
Business Name
Address
City
Email
Website Address
About Your Building
Miles to Fire Dept
Feet to Hydrant
Notes
Square Footage Rented
# of Stories
Building Type
Construction Type
Year Built
Check if "Yes"
Smoke Detectors
Central Station Burglar
Dead Bolts
Central Station Fire
Fire Extinguisher
Have any of the following been updated in the past 10 years?
Roof
Plumbing
Heating
Electrical
Electrical system
protected by
circuit breakers?
If Oil, Where is
the tank stored?
Type of Heat?
Do you need
special coverage?
Have you had any
losses to your business
or building in the past 3
years?
Do you have a
kitchen?
Do you own or
rent any other
property?
Do you conduct
any business?
Other Information
Current Insurance
Company
Current Policy
Expires
Current
Premium
Are there other
apartments, offices
or retailers in your
building?
Building
Coverage Limit $
Value of Personal
Property or Contents
Deductible
Medical
Payment
Liability Limit
Needed
Contact Us Today: 888-833-8120 | Fax: 888-315-3750
1055 Stewart Avenue, 2nd Floor, Suite 5, Bethpage, NY 11714
42-18 Broadway, Astoria, NY 11103
by appointment: 273 Bayville Avenue, Bayville, NY 11709
Serving Happy Clients throughout New York State, New Jersey, Pennsylvania, Connecticut and Beyond!
Contact Us: 516.320.8120 | 631.422.8585 | 718.577.2721
Fax: 888.315.3750 | 516.320.8121 | 631.422.8586
Email: info@classiccoverage.com
csr@classiccoverage.com
Bobb@classiccoverage.com
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