Business Quote

Contact

First Name

Last Name

Best Time to Reach You

Business

Business Name

Business Phone

Type of Industry

Tax ID/FEIN

Number of Full Time Employees

Number of Part Time Employees

Years in Business

Description of Business & Clientele

Business Address

Address

City

State

Zip Code

Insurance Coverage

Current Insurance Company (Not Agent)

Policy Expiration Date

Property / Premeses

Address

City

State

Zip Code

Occupancy Status?

Owner Tenant

Year Built

Percent Occupied

Sprinklers?

Yes No

Stories

Number of Basements

Square Footage

Burglar Alarm

Yes No

Building Value

Contents

Liability Information

Annual Gross Sales (Before Taxes)

Annualized Payroll

Cost of Any Subcontracted Work

Additional Comments

Satellite Offices (By appointment only):

100 Conifer Hill Drive Suite
411 Danvers, MA 01923

366 Menauhant Road
East Falmouth, MA 02536

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