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? * We just need this to communicate with you and we promise we won't spam you!
If applicable, what's the complete legal entity or "doing business as" name of the organization or business you're requesting a quote for? * If you are a sole proprietor or not incorporated kindly just input your doing business (DBA) or trade name here.
Your website, LinkedIn, Amazon Store Link, Social Media Profile etc., if applicable https://www...
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...
What industry best describes your business/operations? N/A as we are not a business, charity or association Retail Professional Services Construction Manufacturing Farming, agriculture, forestry, fishing etc. Mining, quarrying, and oil & gas extraction etc. Charity, Non-profit etc. Wholesale Transportation and warehousing Finance, insurance, fintech, financial services etc. Real estate, rental and leasing Scientific and technical services Technology, IT etc. Administrative and support, waste management and remediation services Educational services Health care and social assistance Arts, entertainment or recreation Hospitality (Restaurants, Bars, Pubs etc.) Lodging & Accommodations (Hotel, motel, AIRBNB etc.) Other We recognize these might not be a perfect fit, but please select one that most closely applies.
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.
Briefly describe your business, organization or risk(s) that you would like to insure Kindly tell us more about your risk, what do you do, how long you've being doing it etc. and please include a brief description of all operations, products, services and/or ways you or your organization generates revenue/sales.
Is there anything else you'd like to share with us or think we should know about you, your operations, the risk etc.? Ex. any historic claims specifically for the insurance(s) you are inquiring about, specific insurance requirements or limits from lease, contract, RFP etc. that you need to satisfy.
Consent * I accept By clicking "I accept", you are agreeing to our terms of service and authorizing ALIGNED or it's trusted partners to use of the information provided to attempt to secure insurance quotes for the product(s) requested on your behalf and to contact you about insurance matters and products.
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