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
Business Insurance Quote Form
For the fastest and most accurate business 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 Business:
Contact Name:
Street Address:
Mailing Address:
If different from above
City:   State:    ZIP:
County:   Email:
*Social Security Numer or *FEIN
*Required by insurance companies in order to quote
Business Phone:       Fax:   
Best time to call:   AM   PM
Current Insurance Company (not agency): 
Company Name:
Policy Exp. Date:
 		 / /
 
What type of coverages do you currently have:
Bond
Commercial Auto
Commercial Liability
Commercial Property		 Commercial Umbrella
Directors & Officers Liability
Disability
Group Health		 Group Life
Professional Liability
Workers' Compensation
Other  
About Your Business:
# of full-time employees # of part-time employees How long in business Year Business Established How many locations
yrs.
         
Owners Annual Est. Payroll Annual Est. Payroll In Addition to Owners

Annual Sales

 Contractors License #
$ $ $
Cost of Hire - Insured Contractor Cost of Hire - Uninsured Contractor
$ $
Please give a brief description of your business and clientel:
Please select the type of coverages you want:
Bond
Amt. Desired

Commercial Auto
Amt. Desired

Commercial Liability
Amt. Desired

Commercial Property
Amt. Desired
 Commercial Umbrella
Amt. Desired

Directors & Officers Liability
Amt. Desired

Disability
Group Health		 Group Life
Professional Liability
Amt. Desired

Workers' Compensation
Other  
Additional Comments:
Please give any additional comments about the coverage you desire:
 

 

Thank you for your time in submitting this Business Insurance quote form. One of our representatives will respond to your submission as soon as possible!

 

 

Send mail to info@cartercompany.com with questions or comments about this web site.