Business Insurance Quote
Liability, property, workers comp, and more for your business. Start when the day is done. Upload current policies if you have them.
Current policies or declarations pages help us match limits and find gaps. After-hours forms are welcome. Submitting the form is not a bind.
Just get in touch
Name, phone, email, and a short note.
Full questionnaire
Faster, more accurate quote.
How would you like to start?
Name *
Email *
Phone
What do you need?
Message *
Declaration page or current policy (optional)
Choose one
- Personal (auto / home)
- Commercial
- Life or annuities
- Health
- Agriculture & farm
- Railroad job insurance
- Not sure yet
PDF, PNG, or JPG. Up to 3 files, 20 MB.
Full questionnaire
General information
Business name
DBA (if applicable)
Mailing address
City
County
State
ZIP
Location address
City
County
State
ZIP
Contact name
Contact phone
Contact email
Legal entity
Date business established
FEIN
Years of owner experience in industry
Description of operations
Employees — full time
Employees — part time
Contractors
Gross annual payroll ($)
Gross annual revenue ($)
Current insurance carrier (if none, enter "NONE")
Current policy expiration date
Desired effective date
Desired deductible
Property details
Are you requesting property coverage?
If no, list current carrier (if none, "NONE")
Building ownership
Location street address
City
County
State
ZIP
Insured sq ft
Occupied sq ft
Unoccupied sq ft
Total sq ft
Describe other occupancies
Construction type
Number of stories
% sprinklered
Year built
Year renovated
Roof
Electrical
Plumbing
Heating / AC
Building value
Personal property value
Business income — annual gross revenue
Business income — estimated payroll
General liability
Are you requesting general liability coverage?
If no, list current carrier (if none, "NONE")
Does your company use independent contractors or subcontractors?
Do you collect certificates of insurance from subs?
% of work completed by contractors
Workers' compensation
Are you requesting workers' compensation coverage?
If no, list current carrier (if none, "NONE")
Full-time employees
Part-time employees
Volunteers
Total employees
Is there a safety program?
Total estimated payroll ($)
Class code, duties, or description
# employees (FT / PT)
Estimated payroll
Name
Title
Estimated payroll
Business auto
Are you requesting business auto coverage?
How many vehicles will be listed?
Radius each vehicle will travel
Do you run an MVR before hiring employees?
List of drivers and vehicles (including trailers)
Additional coverage interests
Additional notes / comments
Based in Gardner, serving the Kansas City metro. Led by Jerred Cogdill, owner & agent.
Licensed in KS, MO, NE, CO, TX, NM
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