Commercial Insurance Quote | Crosswinds Insurance Agency

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Step 1 of 5

Tell us about your business

A few basics so we can match you with the right carrier.

Name of company

Include the exact legal name, including any LLC, Inc., dba, etc.

Required.

FEIN # (optional)

Tell us about your company. What do you do?

Required.

What date would you like coverage to start?

Please pick a date.

Who should we contact?

The person we should call about this quote.

Contact first name

Required.

Contact last name

Required.

Phone

Please enter a valid phone number.

Please enter a valid email.

Would you like to receive updates through SMS texting?

Yes, text me No texts please

Please choose one.

Mailing address

Street

Required.

City

Required.

State

Required.

ZIP

Required.

Is your mailing and physical address the same?

Yes No

Please answer.

Physical address

Street

Required.

City

Required.

State

Required.

ZIP

Required.

Your operations

Best guesses are fine. We'll confirm the details with you.

What's your annual revenue/sales? (or projected if just starting)

Required.

Do you have any employees?

Yes No

Please answer.

How many employees do you have?

Required.

What's your estimated yearly payroll?

If a new venture, use your best guess.

Required.

Do you have a keyman insurance policy?

Yes No

Please answer.

What's keyman coverage? It helps a business keep operating after the unexpected loss of a key individual by covering the income or revenue gap.

What needs to be insured?

Tap Yes or No for each one.

Do you have any property(ies) to insure?

Yes No

Please answer.

What's the address of the property you want insured?

Same as my business address

Street

Required.

City

Required.

State

Required.

ZIP

Required.

Do you have any other properties to insure?

Yes No

Please answer.

How many more properties?

Due to the size of the account, a licensed representative will contact you to gather more information.

Do you have any business personal property (BPP) to insure? Inventory, furniture and equipment kept at your location

Yes No

Please answer.

What's the total value of BPP you want to insure?

Required.

Do you have any equipment to insure that leaves the premises? Tools and equipment you take to job sites

Yes No

Please answer.

What's the total value of that equipment?

Your best estimate is fine.

Required.

Are there any vehicles in the business name?

Yes No

Please answer.

Driver licenses for everyone who drives the vehicles Pick what's easiest

Upload photos Type them in I'll give them to my agent by phone

Please choose one.

List each driver

Please list at least one driver.

No problem. Your agent will collect driver license details when we call.

Upload copies of driver licenses A phone photo of each license works

Please upload at least one driver license.

Almost done

Uploads are optional but help us quote faster.

Upload any other documents (optional) Current policy, loss runs, etc.

Your files are too large together (8 MB max). Please remove a file or use smaller files.

How did you hear about Crosswinds Insurance Agency?

Referred by a Crosswinds customer Google/Search Facebook/Social Media Networking/Event Crosswinds website Crosswinds team member Other

Please choose one.

Who referred you?

First name

Required.

Last name

Required.

Team member's name

Required.

Information disclosure: To offer you an accurate quote, the insurance companies we use gather information from you and other sources, such as your claims and credit histories. Insurance prices and products may vary based on how you buy.

Fraud statement: Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance may be guilty of a crime and may be subject to fines and confinement in prison.

I've read the disclosure and fraud statement, and my answers are true to the best of my knowledge.

Please check the box to continue.

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Thank you, we've got it!

We'll review your commercial application within 24 hours and respond with any additional questions we have.

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