Kettering Insurance Agency

  

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Business Owners Package (BOP) Insurance Quote
Personal Information
Name of Insured
Address
City
State
Zip
Home Phone
Business Phone
Location Address
Location City
Location State
Location Zip
Email

 

Property Questions
 
Age of building /Year Built:
Type of building construction:
Number of stories:
Other occupancies:
Square feet you occupy:
 
Construction
If the building is over 25 years old, please answer the following:
Year Electricity was updated:
Is it on circuit breakers?:
Copper or Galvanized plumbing?:
Year Building was last re-roofed
Type of roofing material:  
Type of heating system in the building:
   

 

Protective Devices
 
Burglar Alarm:
Central Station or local alarm?:
Name of alarm company:
   
   
   
Is the building sprinklered?:
Are there smoke detectors?:
Central Station
Local Alarm  

 

Liability Questions
   
Please provide information on previous insurance carrier:
 
Previous Ins. Carrier:    
Policy number:    
Prior premium:    
Policy renewal date:
   
Please provide information about your business:
 
Years in business:    
Projected Gross annual receipts:    
Projected annual payroll:
   
Describe your business, product or service:
 
   

 

 

 

 

 

 

 

 

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