Contact Us At:
210 West Butler Avenue Suite 3 New Britain, PA 18901
Phone: 1-800-957-8027
Fax: 1-215-489-6163
5 Reasons You Should Use the Services of PACarInsurance.com:
1. The best coverage at the lowest price.
2. Instant phone quotes for most products.
3. Low down payments & easy monthly installments on most policies.
4. Internet quotes returned within 24 hours.
5. Rates are shopped with 25+ insurance companies.
Underwriting Information:
Describe IN DETAIL, Your Business Operations:
Ownership & Payroll Data:
List Employee's Annual Payroll Here (if none, enter $0):
$
Insert # of Employees here:
Location & Sales Information:
Insert Annual Gross Revenues from this operation here:
$
Square Footage of office or business location:
Type of Building (wood frame, concrete, etc.):
Number of Stories:
Are there other business/residences in this building (describe)?:
Describe safety features (alarm, sprinklers, fire protection, etc):
Coverage Desired: (Check One Please)
The Coverage I Am Looking For:
Liability Only
Liability & Business Contents
Liability, Building & Contents Coverage
A Package Policy Including the Above, Plus Miscellaneous Coverages
NOTE: Don't worry if you are not exactly sure about
coverage type... we will suggest the best coverage for you - just try to tell us what you are looking for! (If we need more info. we will let you know.)
Business Contents Coverage: (The amount of your personal business property)
$
Building Coverage: (The amount of building coverage if you own your bldg.)
$
Miscellaneous Coverage: (List any special coverage peculiar to your business, such as Garagekeepers Legal, Loss of Earnings, Valuable Papers, etc.)
$
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