Auto Repair/ Body Shop Commercial Quote Name* Title Main Contact Number* E-mail Address* What's the Legal Name of your Business What is the DOING BUSINESS AS (DBA)? What Type of Company (S, C, LLC, etc.)? FEIN # Location AddressMailing AddressHow Many Years in Business Description of BusinessCurrent Carrier Any Claims in 5 Years Any Pending Losses or Lawsuit What Type of Coverage Do You Need What Are Your Current Limits? Property Building Personal Property Loss of Business Income Any Glass or Sign Coverage General Liability Limit Liquor Liability Any Other Liability (E&O, EPLI, etc.)? Any Loss Payee or Mortgagee? If so, please state name and addressYear built Construction Square Feet of Building Type of Occupancy If not Sole Occupancy, How Many Square Feet Are Occupied by You? What Are the Other Occupancies and Square Footage? Any Parking Owner or Rent? Exposures to Right, Left, and Rear? Security Devices Type of Roof How Many Full Time Employee How Many Part Time Employees Annual Payroll per year Annual Sales per year Δ