Premises Liability Insurance Quote

This field is for validation purposes and should be left unchanged.
Company Owner(Required)
Please list the name of the company owner above.
Please provide your Federal Identification # (FEIN#) for LLC, Corporations, or Partnerships OR your Social Security # for Individually owned companies without a FEIN#.
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MM slash DD slash YYYY
This is one year later from the Effective Date of the Lease
*select "Individual" if your business does not have a LLC, Corporation, or Official Partnership entity with a separate FEIN#.
Legal Name - Should Match the Lease Agreement
NEW Business Address (Lessee Address) INCLUDING SUITE #(Required)
This is your new business address for the location that you are leasing. Please make sure that you INCLUDE the SUITE # on the "Address 2" Line.
1) Please provide a detailed list what services & products your company provides. 2)Please ALSO list what this specific location will be used for. (Warehouse storage, manufacturing of products, retail location for clients, etc. ) We will need this information to get the quote completed.
Email Address(Required)
Cell # is best
Please list your estimated annual gross sales.
Please list your estimated annual payroll EXCLUDING the owners/officers. If no other employees, please enter "none"
What size is the new location you are leasing?
Please select which
MM slash DD slash YYYY
Please list the date you need the coverage to start. It must be started on or before your lease date to move into the new location.

DISCLAIMER: Informational statements regarding insurance coverage are for general description purposes only. These statements do not amend, modify or supplement any insurance policy. Read your policy or consult with your agent for details. Your eligibility for particular products and services is subject to final underwriting and acceptance by the insurance company providing such products or services.

This website does not make any representations that coverage does or does not exist for any particular claim or loss, or type of claim or loss, under any policy. Be sure to read the policy, including all endorsements, or prospectus, if applicable.

The Haring Insurance Agency