Carter & Company, L.L.P. 

 

 

 

    (If not in Texas, please click here to view a list of states in which we currently have non-resident licenses.  If your state is not listed then we would not currently have a market for you.)

Business Owner's Package (BOP)
Business Owners Package (BOP) Insurance Quote
For the fastest and most accurate insurance quote, please provide as much information possible in the form below. This information will be kept confidential and will be used for quote purposes ONLY!

General Information
Name of Insured:
Address:
City: State: Zip:
Business Phone:   Fax Number:
Email Address:
*Social Security Number or *FEIN
*Required by insurance
companies in order to quote
Location Address 
(type "same" if same as above):
City:   State:   Zip:

 

Property Questions

Age of building
/Year Built:

Type of building
construction:

Number of
stories:

Other
occupancies:

Square feet
you occupy:

sq. ft.

If the building is over 25 years old, please answer the following:
Year Electricity was updated:

Is it on circuit breakers?:

Yes   No
Year Plumbing was updated:

Copper or Galvanized plumbing?:

Copper   Galvanized   Other:

Year Building was last re-roofed:

Type of roofing material:

Type of heating system in the building:

 

Protective Devices

Burglar Alarm:

Central Station
or local alarm?:

Name of
alarm company:

Is the building
sprinklered?:

Are there
smoke detectors?:

Y   N

  Central Station
 Local Alarm

Y   N

Y   N

 

Coverage Limits

Building:

Contents (equipment,
inventory, supplies, etc.):

Deductible:

Loss of Income:

$

$

$

Money and Securities:

Glass or signs:

General Liability Limit:

Non-owned and Hired
Automobile Liability:

Is liquor liability needed?

$

$

$

Yes   No

    If Glass Coverage is needed, please provide dimensions:

    Please list other coverages you may need:

 

Liability Questions

Please provide information on previous insurance carrier:

Have you had prior insurance?:

If so, please give us a statement below of your
loss experience for the past five (5) years:

Previous Ins. Carrier:

Policy number:

Prior premium:

Policy renewal date:

$

Please provide information about your business:

When did you establish
this business?:

How many years experience
do you have in this field?:

How many years management
experience do you have?:

Social Security Number
or FEIN Number*:

Projected Gross annual receipts:

Projected annual payroll:

$

$
  *This may be required by the company in order to provide a quote

    Describe your business, product or service:

 

Miscellaneous Information
Name of Additional Insured
(Landlord or vendor):
Mailing Address:
City:   State:   Zip:

 

Additional Comments

Please give any additional comments you feel appropriate for this quotation. If you have additional information where there was not enough fields above, please enter them here.


Please click on the "Submit Quote" button to send your quote request.
One of our representatives will respond to your submission as soon as possible.

   

 

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