(323) 654-3616 | Lic. 0H78579

Commercial Insurance

General Information

*Company Name

*Contact Name

Mailing Address

Address Line 2

City

*State

*Zip Code

*Business Phone

*E-mail

Organization Type

*Nature of Business

Years in Business

Current Ins. Company

Current Pol. Exp. Date

Current Premium

Number of Losses Last 5 Years

Annual Gross Income

Payroll

Property

Subject Of Insurance

Amount

Deductible

Building Information

Year Built

Construction Type

Number of Stories

Total Area

Commercial Liability

General Aggregate

Products & Completed Operations Aggregate

Personal & Advertising Injury

Each Occurance

Fire Damage

Medical Expense

Commercial Property

Insured Property Amount

Deductible

*Required Fields

Ready to Get Insured? Call Us Today: (323) 654-3616

Major Point Insurance Services, Inc. Lic. 0H78579.

Copyright © 2008-2015 MPIS. All Rights Reserved.

Privacy & SecurityUser Agreement