Contact Us


If we're Offline, send us a message! Simply fill out the quick form below and we'll contact you right away!

Name:

Email:

Phone:

Questions/Comments:




Business Insurance Application

Please fill out the form below to get your free Business Insurance quote from The B & G Group.


Business Information



Business Name:

Number of full time employees:

Number of part time employees:

Will this replace an existing business policy?:
Yes     No

Business Street Address:

Suite or Unit #:

City:

State:

Zip Code:




Contact's First Name:

Contact's Last Name:

Contact's Email Address:

Contact's Phone Number:

Legal Entity/Status:

Number of Years in Business:

Gross Annual Payroll:

Gross Annual Revenue:

Years of Owner Experience within Industry:

Brief description of the business:


(Ex: I replace tile floors in kitchens)


Desired Amount of General Liability Coverage:


Business Hours:


      to



Select Additional Coverage Types to Discuss with the Agent:


Non-Owned Auto Coverage

Commercial Umbrella Coverage

Business Interruption Coverage



Coverage Selection


Select one or more common coverage types as well as any additional coverage types you are interested in.

Common Coverage Types

Select at least one of these coverage types.

General Liability
Protects the assets of a business in case of a lawsuit related to injury or property.


Business Owners Policy (BOP)
Combines general liability and business property coverage into a single policy.


Commercial Auto
Provides coverage for Business-use vehicles. Can range from one car to an entire fleet.



Additional Coverage Types

Select additional coverage types of interest.

Bonds
Two major types:
Surety - Gaurantees compliance with local laws and fulfillment of contractual obligations.
Fidelity - Protects business for losses related to fraudulent employee acts.

Directors & Officers Liability
Provides financial protection for directors and officers in case of a lawsuit related to the performance of the duties as the relate to the company.


Errors & Omissions
Provides protection in the event that an error or omission by the business or its employees has caused a financial loss for a client.