SBI General Business Quote

Offices
7600 NE 41st St
Suite 125
Vancouver WA 98662

Telephone
360-254-8150
503-283-7617
Fax
360-254-8189-1199

General Business Insurance...

We specialize in retail, wholesale, manufacturing, office and restaurants.

We deliver insurance products that provide quality protection with value pricing.

Storefront

Instructions

To help give you the most accurate quote, you need to completely fill out the form. All information provided is confidential and will not be shared with any third party. It is simple and takes about 2 minutes.

Personal & Company Information:

Your Name:

Your Business Name:

Street Address:

(MAIN ADDRESS)

(SUITE OR ROOM # - IF NONE LEAVE BLANK)

City:

State:

Zip Code:

Your Email Address:

Confirm Email Address:

Day Phone:

(Please include area code)

Cell Phone:

Fax:
(optional)

Currently Insured:

Yes

No

If yes, enter Company and # of years covered

Type of Business:

Retail	Wholesale
Professional Service	Commercial
Restaurant	Other

Years In Business:

Business Structure:

Corporation

LLC

Sole Proprietor

Partnership

Other

Have you filed any claims:

Yes

No

If Yes - Amount Received:

Describe what your business does:

Annual Gross Revenues:

Annual Gross Payroll:

Number of Employees:

Business Location Information:

Own

Lease/Rent

Share

Other

Square Footage Used:

Type of Building:

(wood frame, concrete, steel, etc.)

Number of Stories:

Other Business or
Residences in Building:

Yes No

List Any Building Safety Features:

(alarm, sprinklers, fire protection, etc)

Coverage Desired
(Please Check One)

Liability Only
Liability & Business Contents
Liability, Business Contents & Building Coverage
Package Policy Including the Above + Misc Coverage

We will review the information you have given us, and suggest the best coverage for you. Just tell us what you think you need. If we need more information, we will contact you.

Liability Coverage Amount:

$
($300,000, $500,000, $1 Million, etc.)

Business Contents Coverage:

$
(Cost of Personal Business Property)

Building Coverage:

$
(If You Own Building - Amount of Coverage)

Miscellaneous Coverage:

(List any special coverage peculiar to your business
such as Public House Legal, Loss of Earnings, Valuable Papers, etc.)


Send Quote by:	E-Mail Fax Regular Mail Give Me A Call
Thank you for filling out this form! We respect your privacy. Every step has been taken to insure your information is secure. We will sent our quote information only to you. We do not give your data to ANY other person or group for ANY reason. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. I agree. Send me my Simpson Business Quote ASAP!
When you Click - We will check the form for completeness. If anything is missing, your cursor will be placed where you need to complete the requested input. Then just scroll back down the page and re-click the Send Button. Click Only Once Be Patient! Could take up to 30 seconds!

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