Geer Insurance Agency - fast and free california auto, home and business insurance quotes CA insurance quotes from Geer Insurance Agency

CA low cost insurance from Geer Insurance Agency
Geer Insurance Agency
California insurance quotes from Geer Insurance Agency - save money on your CA insurance!
Geer Insurance Agency helps you save money on your CA insurance

Get a fast online CA insurance quote from Geer  Insurance


click for homeowners quote from Geer Insurance
click for motorcycle quote
click for classic and antique auto insurance quote
click for renters quote
click for flood quote
click for life insurance  quote
click for individual health insurance quote
click for business owners quote
click to enter Safeco 

Client Portal

 
 
On-Line Businessowners
Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!


Your Personal and Company Data:

Your Name:
Your Company's Name:
Street Address:
City:
State: (Must be California)
Zip/Postal:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):
 


Currently Insured?
(If yes, list carrier, and # of years
continuous. If none, type NONE)
 
Type of Business:
Retail    Wholesale
Office    Other
 
List Claims & Amounts Paid
(If none, type NONE)
 
Years In Business:
 
Business type:
(proprietorship, corporation, etc.)
 
Describe Business in detail:
(i.e., Delicatessen and sandwich shop, etc.)
 
 


 
Underwriting Information:
 
Describe IN DETAIL,
Your Business Operations:
 
Ownership & Payroll Data:
List Employee's Annual Payroll Here (if none, enter $0): $ Insert # of
Employees here:
 
Location & Sales Information:
Insert Annual Gross Revenues from this operation here: $ Square Footage of office or business location:
 
Type of Building (wood frame, concrete, etc.): Number of Stories:
 
Are there other business/residences in this building (describe)?: Describe safety features (alarm, sprinklers, fire protection, etc):
 
Coverage Desired: (Check One Please)
The Coverage I Am Looking For:

Liability Only
Liability & Business Contents
Liability, Building & Contents Coverage
A Package Policy Including the Above,
        Plus Miscellaneous Coverages

NOTE: Don't worry if you are not exactly sure about coverage type... we will suggest the best coverage for you - just try to tell us what you are looking for! (If we need more info. we will let you know.)
 
Liability Coverage:
($300,000, $500,000, $1 Million, etc.)
$
 
Business Contents Coverage:
(The amount of your personal business property)
$
 
Building Coverage:
(The amount of building coverage if you own your bldg.)
$
 
Miscellaneous Coverage:
(List any special coverage peculiar to your business, such as Garagekeepers Legal, Loss of Earnings, Valuable Papers, etc.)
$
 
Other Coverages You Would Like Information On: Commercial Vehicle
Bonds, License/Performance
Workers Compensation
Builders Risk Insurance Commercial Umbrella
 
 
Send my quotation via: E-Mail Fax
Regular Mail
Please Call by Phone!

 
Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Yes, I Agree. Please Send Me a
Business Owner's Quote NOW!

Help Us Fight Spam! Type the Numerical Code you see at right, into the empty text box on the left, so we know you are a human. Thanks for your help!

Enter code at right, here:
Web Form Protection Code
reload image


Click Button Below When Done

Please Click Only Once . . . May take up to 30 seconds!


We Represent These Fine California Insurance Companies & More!
carriers represented by Geer Insurance Agency

Geer Insurance Agency  |  Terms of Use/Privacy Notice/Copyright Info.  | Map Driving Directions  | About Us  | Service
Fax: 866-550-4337  |  Local Phone: 805-525-3344  |  Report web site/technical problems to: howard@geerins.com

Web Site Design © 2014 Insurance-Web-Sales