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News Insurance Services Inc✖

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BBB Accredited: Monday, January 11, 2021

BBB Rating as of: Monday, January 11, 2021

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Businessowners Policy Quote

First Name *

Last Name *

Phone Number *

Personal Number

Email Address *

Mailing Address *

Website Address

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If you know

GL Code (Optional)

SIC (Optional)

NAICS (Optional)

FEIN (Optional)

Business Address: *

State *

City *

Zip Code *

Building Type of Occupancy:

Number of Stories *

Are you the:

How big is the building:

Total Building Occupancy

Square footage of your premises

Year Built

Is your operation habitational? (Habitational Only: Apartments, Condos, Hotels, and Motels)*

Number of Units *

Number of Swimming Pool(s): *

Select all that apply

Approved Fence (Auto Lock)

Limited Access

Diving Board

Slide

Above Ground

In-Ground

LifeGuard

Has the building been renovated?

Electrical

Percentage of Renovation

Year Renovated

Plumbing

Percentage of Renovation

Year Renovated

Heating

Percentage of Renovation

Year Renovated

Roof

Percentage of Renovation

Year Renovated

Construction Type

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Type of Alarm

Is your building fully sprinklered?

Please choose the percentage of the building protected by fire sprinkler:

Any Area Leased to Others?

Square footage leased to other?

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Select your Primary Business Category below: *

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Business Type: *

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Number of Full Time Employees *

Number of Part Time Employees *

Annual Sales *

Annual Payroll *

Year Business Started

Installation, Service, OR Repair Work Percentage:

Describe Your Business

Do you have any subsidiaries?

Yes

No

Subsidiary Company Name:

Percentage Owned:

Relationship Description:

Is a formal safety program in operation?

Yes

No

Select all that apply:

Safety Manual

Safety Position

Monthly Meetings

OSHA

Any exposure to flammables, explosives, and chemicals?

Yes

No

Any policy or coverage declined, canceled, or non-renewed during the last three years for any premises or operations?

Yes

No

Select that apply:

Describe:

Any past losses or claims relating to sexual abuse or molestation allegations, discrimination, or negligent hiring?

Yes

No

During the last five years, has any applicant ever been indicted for OR convicted of any degree of the crime of fraud, bribery, arson, or any other arson-related crime in connection with this or any other property?

Yes

No

Have you had a foreclosure, repossession, bankruptcy, or filed for bankruptcy during the last five years?

Yes

No

Occur Date:

Resolve Date:

Explanation:

Has business been placed in a trust?

Yes

No

Name of Trust:

Any foreign operations, foreign products disturbed in the USA, or US Products Sold/Distributed in foreign countries?

Yes

No

Do you have other business ventures for which coverage is not requested?

Yes

No

Do you own/lease/operate any drones?

Yes

No

Please describe:

Do you hire others to operate drones?

Yes

No

Please describe:

Number of years you have been insured

Name of Prior Carrier *

Please Specify *

Have you had any losses in the last three years?

Yes

No

Loss #1

Date of Loss

Type of Loss

Please specify

Amount Paid

Subrogation

Claim Open

Add another loss history

Loss #2

Date of Loss

Type of Loss

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Amount Paid

Subrogation

Claim Open

Add another loss history

Loss #3

Date of Loss

Type of Loss

Please specify

Amount Paid

Subrogation

Claim Open

Property Coverage

Building Limit (Sq ft.*Cost per Sq ft.)

Deductible

Please Specify

Business Personal Property:

Actual Loss Sustained:

Building Ordinance

Personal Property of Others (if any):

Earthquake

Yes

No

Flood

Yes

No

Equipment Breakdown

Yes

No

Building Ordinance

Yes

No

Building Ordinance

Liability Coverage

Occurrence/Aggregate

Product Liability (Same as Aggregate Limit)

Liquor Liability (If Applicable)

Annual Liquor Sales: *

Classification: *

Hired/Non-Owned Auto

Yes

No

Garage Keepers Liability (Applicable for Auto Related Businesses)

Are you interested in other additional policies?

Workers’ Compensation

Yes

No

Professional Liability / E&O

Yes

No

Employment Practice Liability (EPLI)

Yes

No

Employee Benefits Liability

Yes

No

Deductible Per Claim:

Number of Employees Covered by Employee Benefits Plan

Retroactive Date

Directors & Officers Liability

Yes

No

Commercial Umbrella

Yes

No

Amount

Please specify

Earthquake

Yes

No

Commercial Auto

Yes

No

Data Breaches

Yes

No

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Commercial Insurance

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Our Company

Address : 2072 Orchard Drive, Suite A, Newport Beach, CA 92660
Email : [email protected]
Phone : 1-877-700-NEWS(6397)
Fax : (949) 791-1300