What type(s) of insurance are you interested in? * Commercial General Liability (Coverage for bodily injury and/or property damage to third parties) Professional Liability/E&O (Coverage for financial losses to third parties from services provided for a fee) Real Estate & Rental Property (Commercial Buildings, Rental Properties, AIRBNB, Student Rentals, Apartment Buildings, Strip Malls etc.) Online Retailer Insurance (Amazon US or CAN, Wayfair, Etsy etc.) BCIN Professional Liability (For Ministry of Municipal Affairs and Housing (MMAH) Requirements) Small Business Package (Liability + Property etc.) Technology/IT Company Insurance (CGL+E&O+Cyber For Tech Co's, SAAS, IT Consultants etc.) Directors & Officers Liability (Coverage for allegations or breach of duty etc.) Cyber Liability, Privacy & Data Breach (Third party liability, ransomware, cryptolocks etc.) Commercial Property (Buildings, machinery, inventory, raw materials etc.) Cargo/Shipping (Coverage for goods in transit via air, ocean, rail etc.) Boiler/Equipment Breakdown (Physical damage coverage for electrical surges, pressure vessels etc.) Surety & Bonding (All types of commercial surety, contract and performance bonds) Builders Risk/COC & Wrap Up Liability (For all types of property while under construction or renovation) Cannabis (Retail, Growers, Landlords etc.) Pollution/Environmental Liability (Absestos, Mould, Remediation etc.) Personal Home or Auto Insurance Commercial Vessel (P&I, H&M) Vacant Building, Condo or Home Insurance (Property & liability coverage for unoccupied buildings and land) Commercial Auto (Vehicles used for business purposes) Representations & Warranties/M&A/Transactional Liability Farm or Hobby Farm (Property & Liability Coverage) ATE/After The Event For Law Firms Product Recall Insurance (Covers cost for removal and destruction of products) I'm interested in multiple types of insurance Other Select the insurance product you would like a quote for or click I'm interested in multiple types of insurance option.
Additional Insurance You are Interested In Commercial General Liability (Coverage for bodily injury and/or property damage to third parties)Professional Liability/E&O (Coverage for financial losses to third parties from services provided for a fee)Real Estate & Rental Property (Commercial Buildings, Rental Properties, AIRBNB, Student Rentals, Apartment Buildings, Strip Malls etc.)Online Retailer Insurance (Amazon US or CAN, Wayfair, Etsy etc.)BCIN Professional Liability (For Ministry of Municipal Affairs and Housing (MMAH) Requirements)Small Business Package (Liability + Property etc.)Technology/IT Company Insurance (CGL+E&O+Cyber For Tech Co's, SAAS, IT Consultants etc.)Directors & Officers Liability (Coverage for allegations or breach of duty etc.)Cyber Liability, Privacy & Data Breach (Third party liability, ransomware, cryptolocks etc.)Commercial Property (Buildings, machinery, inventory, raw materials etc.)Cargo/Shipping (Coverage for goods in transit via air, ocean, rail etc.)Boiler/Equipment Breakdown (Physical damage coverage for electrical surges, pressure vessels etc.)Surety & Bonding (All types of commercial surety, contract and performance bonds)Builders Risk/COC & Wrap Up Liability (For all types of property while under construction or renovation)Cannabis (Retail, Growers, Landlords etc.)Pollution/Environmental Liability (Absestos, Mould, Remediation etc.)Commercial Vessel (P&I, H&M)Vacant Building, Condo or Home Insurance (Property & liability coverage for unoccupied buildings and land)Commercial Auto (Vehicles used for business purposes)Representations & Warranties/M&A/Transactional LiabilityFarm or Hobby Farm (Property & Liability Coverage)ATE/After The Event For Law FirmsProduct Recall Insurance (Covers cost for removal and destruction of products)Personal Home or Auto InsuranceOther Select all that apply
What best describes the reason for your request? * Don't currently have insurance I need/want Have insurance, but looking for options for an upcoming renewal I've been working with another broker, but I'm not happy with the service I'm getting Just for information purposes Other Please click and select the best response.
When do you need or want insurance in place by? *
What is the expiration date of the insurance that is in place? *
First Name * Type your answer here...
Last Name * Type your answer here...
What's the best phone number to reach you at? * (XXX) XXX-XXXX
What's Your Email Address? * Need to communicate! NO SPAM
If applicable, what's the complete legal entity or "doing business as" (DBA) name of the organization or business you're requesting a quote for? * If you are a solo or not incorporated kindly put your DBA or trade name here.
Street address of the business or location to be insured * Type your answer here...
City * Type your answer here...
Province or State * Type your answer here...
Postal or Zip Code * Type your answer here...
Country * Type your answer here...
How many years of experience do you have in the industry, field, business etc. related to the insurance quote you are requesting? None. This is a new venture for me. 1-3 Years 3 Years or more N/A Some insurance companies offer better rates with more experience, so ensure your response accurately reflects your experience.
Select the option below that most accurately reflects your projected sales/gross revenue, rental income, donations etc. for the next 12 months: N/A as we aren't a business, charity or association Less than $100,000 $100,000 to $300,000 $300,000 to $500,000 $500,000 to $1,000,000 $1,000,000 to $2,000,000 $2,000,000 to $3,000,000 $3,000,000 to $5,000,000 $5,000,000 to $10,000,000 $10,000,000+ Please click and select the best response.
If applicable, how many employees do you have? N/A as we are not a business, charity or association None...it's just me! 1 - 10 11 - 25 26 - 100 100+ Please click and select the best response.
Please describe your business or the risks you want to insure, and share any other relevant details about your operations or risks. Please include details about your risk, business activities, products, services, revenue sources, any past claims and/or specific insurance requirements or limits you need to meet.
Consent * By checking this box, I consent to ALIGNED Insurance or its trusted partners, including Mylo & Bold Penguin contacting me via email or at the provided number for insurance & marketing purposes using automated methods including SMS. My consent is not required for services and I acknowledge I can call ALIGNED Insurance at 1-866-287-0448 to receive service. I also agree to the terms of service and authorize the use of my information to secure insurance quotes and contact me about insurance products.
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