Number of Full Time Employees:
Number of Part Time Employees:
Number of Years in Business:
Number of Business Locations:
Type of Business:
Annual Gross Sales (Before Tax) ($):
Cost of Any Sub Contracted Work ($):
Please give a brief description of your business & clientele:
Year Built In:
Building Value ($):
Type of Ownership:
Number of Basements:
Area (Sq. Feet):
Insurance Company Name:
Policy Expiry Date (MM/DD/YYYY):
Premium Amount ($):
Any Losses In Last 3 Years?
Same Company Policy Since?
Choose The Type of Coverage You Are Looking For:
Liability OnlyLiability & Business ContentsLiability, Building & Contents CoverageMiscellaneous Coverage
Liability Coverage (Ex. $300,000, $500,000, $1 Million, etc.):
Building Coverage ($):
Business Content Coverage ($):
Miscellaneous Coverage ($) (All Coverage including Loss of Earnings, Valuable Papers, etc.):
Any additional comments or information that might be helpful in your Business Owners insurance quote:
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We don’t simply view ourselves as a business in a particular community. We view ourselves as a vital part of the community, helping to protect families and businesses that make the community what it is.
GYC Insurance Agency LIC#0f88072
2901 West Coast Hwy, Suite 200,
Newport Beach, CA 92663.
(714) 375-3894(714) 375-3894