Commercial quote request

Fax

About your business

Business legal name *

DBA (if different)

Your name and title *

Best email *

Best phone *

Yes, Burch Insurance Group may text me about my quote and policy. Message frequency varies. Msg & data rates may apply. Reply STOP to opt out, HELP for help. See our Privacy Policy and Terms.

Website

Business mailing address *

Entity type

Year business started

Annual revenue *An estimate is fine.

Employees (full and part time, not counting owners)

What should we quote?

Coverage you want (pick any that apply) *

Commercial PropertyHOA / Condo AssociationGarage / DealerGeneral LiabilityProfessional Liability (E&O)CyberD&O / EPLUmbrellaWorkers CompCommercial AutoHelp me decide

Do you own or rent your space?

RentOwnNot sure

Building value

Year the roof was last replaced

Year the electrical was last updated

What kind of association?

Condo association (shared buildings)HOA with individual homesTownhome associationNot sure

Number of units or homes

Estimated annual payroll (not counting owners)

Business EINOptional here, but we need it to quote workers comp.

How many vehicles does the business use?

What coverage do you want?

Liability onlyLiability and physical damage for vehicles on the lotNot sure

Average value of a vehicle on the lot

Most vehicles on the lot at one time

Lot limit you wantThe most you would want covered at once.

Drivers

What services or advice do you provide?

Are you insured now?

YesNoNot sure

Current insurance company

When does it renew?

When should coverage start?

Your industry

Which best describes your business?

Auto dealer or auto serviceCommercial property ownerContractorConstructionProfessional servicesOther

Your industry

What does your business do?A sentence or two in your own words.

Do you sell vehicles?

RetailWholesaleBothWe don't sell

Do you service or repair vehicles?

NoYes

Dealer license

Have oneApplied for itNot needed

Vehicles you expect to sell in a year

How many buildings or units?

Year built

Who are the tenants?Types of businesses, or residential.

About how much is vacant?

NoneUnder 25%25% or more

Main trade

Residential, commercial or both?

ResidentialCommercialBoth

About what share of the work do you sub out?

NoneUnder 25%25% to 50%Over 50%Not sure

Any work above two stories?

NoYesNot sure

What kind of construction?

General contractor, new buildingRemodel or renovationSite work or heavy civilOther

Residential, commercial or both?

ResidentialCommercialBoth

About what share of the work do you sub out?

NoneUnder 25%25% to 50%Over 50%Not sure

Largest project in the last 3 years

Which best fits?

Doctor or medicalLawyerConsultingInsurance or real estate brokerOther professional

Number of licensed professionals

Your current policy

Upload your current declarations pagesOne for each policy you have now. We read them, so you skip most of the questions.

Driver license photos or a driver list

Sending this does not start coverage. Nothing is in place until we confirm it in writing.