Unknown 1 C Unknown - Mon, Mar 15, 2010

Anderson Insurance Agencies Ltd.

"Serving the Kootenays Since 1946"
Now also Serving Alberta
An independent insurance broker covers you best
" An independent insurance broker covers you best "

Business Insurance Quote Request

* Required Fields

Principal(s): *
Company Name: *
Address: *
City: *
Postal Code: *
Phone (incl. area code): *
E-Mail: *
Is your building within 300 meters of a fire hydrant? Yes    No 
Is your building within 8 Km's of a fire hall? Yes    No 
Year Built Heating
Construction Type Theft Alarms Yes    No 
Sprinklers Yes    No  Other Occupants
Describe your business operations
Years Experience
Estimated gross annual Sales
% USA sales % of subtrades
Name of Previous Insurer
Claims in last 5 years Yes    No 
Date   Type   Amount Paid
Please describe your past claims:  

Basic Coverage - Amounts
Comprehensive Liability
Building Replacement
Contents Replacement
 

Additional Coverage - Amounts
Professional Liability  
Loss of Earnings
Sewer Backup
Flood
Earthquake
Boiler and Machinery
Valuable Papers
Accounts Receivable
Computer or Data Processing
By-Laws
Crime/Money Coverage
Business Interuption/Extra Expense/Profits

Other Comments



Last Modified: February 02 2010
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