Commercial Property Insurance Quote

Please fill out this form to the best of your ability. Our team here at Quantum Insurance Group will follow up with you promptly.

Business Contact Information

First Name

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Last Name

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Street

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City

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State

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ZIP / Postal Code

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Primary Phone Number

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E-Mail Address

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Business Information

Business Type

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Date Business Started

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Business Description

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Company Owner

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DBA Name

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FEIN#

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Number of Owners

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Number of Employees

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Annual Employee Payroll

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Current Insurance Provider

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Claims/Property Losses in Past 5 Years (Please Explain)

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Property Information

Tools Coverage Needed, if so describe

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PPI (Contents Coverage)

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Building Coverage

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Building Type

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Does the building have a fire sprinkling system?

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Workers Compensation Coverage needed?

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Additional Information

Additional Comments

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Submission Validation

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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

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3140 Finley Road, Suite 400F | Downers Grove IL 60515 | 630.964.1360 | info@quantumagencies.com