CALIFORNIA LICENSE # 0F89805
 
 
   
 
COMMERCIAL INSURANCE
 
COMMERCIAL ( OTHERS ) INSURANCE QUOTE FORM
 
Full Name of Owner:
Address:
City:
State
ZIP:
Phone:
Cell Phone Business Phone
   
E-Mail Address:
   
  Business Info.
   
Years in Business:
Business Type:
Federal Employer ID Number:
Property / Operations Location:
Owner Tenant
 
No. of Units:
   
Proposed Effective Date:
Type of Operation:
Nature of Business:
Annual Gross Sale:
   
  Requested Cover Limit Info.
   
Building:
Deductible:
Contents:
Deductible:
Liability:  
  Construction Info.
   
Construction Type:
Year Built:
#of Stores:
# of Basements:
Total Sq. Ft.:
Building Updated
Wiring Year:
Roofing Year:
Plumbing Year:
Heating Year:
Others Details & Year:
Right/Left/Rear Exposure & Distance:
   
  Security Info.
   
Burglar Alarm Type:
Local Central
Service by:
Fire Protection:  
   
  Prior Insurance Information: (For Five Years)
   
Insurance Carrier:
Loss History:
If Yes, provide details or loss run:
Last year Premium:
Expiration Date:
   
     
 
 
 
 

DO I NEED INSURANCE ?
AUTOMOBILE INSURANCE QUOTE
MOTORBIKE INSURANCE QUOTE




DO I NEED INSURANCE ?
INDIVIDUAL INSURANCE QUOTE
GROUP INSURANCE QUOTE


DO I NEED INSURANCE ?
LIFE INSURANCE QUOTE


DO I NEED INSURANCE ?
UMBRELLA INSURANCE QUOTE


DO I NEED INSURANCE ?
EARTHQUAKE INSURANCE QUOTE


DO I NEED INSURANCE ?
LIQUOR STORES & GAS STATIONS INSURANCE QUOTE
COMMERCIAL ( OTHERS ) INSURANCE QUOTE


DO I NEED INSURANCE ?
COMMERCIAL AUTO INSURANCE QUOTE


DO I NEED BONDS ?


DO I NEED TO ENROLL ?
WORKERS COMPENSATION QUOTE


DO I NEED INSURANCE ?
FLOOD INSURANCE QUOTE


BOAT & YACHT INSURANCE QUOTE

 
 
 
 
Visit LIQUORSTOREGASSTATIONINSURANCE.COM for insurance services for Liquor Stores, Gas Stations, Workers Compensation & Liquor Liability Insurance.
 
LIQUORSTOREGASSTATIONINSURANCE.COM is wholly owned by Khalsa Insurance Agency, Inc.
 
GET INSURED TODAY, CALL US AT: 408.272.2500
 
CALIFORNIA LICENSE # 0F89805
 
SAN JOSE OFFICE
 
Khalsa Insurance Agency, 3750, Mckee Road Suite, A, San Jose, CA, 95127, United States of America.
 
T # 408.272.2500     |     F # 408.493.4552     |     Email:  info@khalsainsurance.com     |     View Directions
 
 
FRESNO OFFICE
 
Khalsa Insurance Agency, 2125 N Barton Av., Fresno, CA 93703, United States of America.
 
T # 408.272.2500     |     F # 408.493.4552     |     Email:  info@khalsainsurance.com
 
 
 
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