Auto Repair/ Body Shop Commercial Quote Name* TitleMain Contact Number*E-mail Address* What's the Legal Name of your BusinessWhat is the DOING BUSINESS AS (DBA)?What Type of Company (S, C, LLC, etc.)?FEIN #Location AddressMailing AddressHow Many Years in BusinessDescription of BusinessCurrent CarrierAny Claims in 5 YearsAny Pending Losses or LawsuitWhat Type of Coverage Do You NeedWhat Are Your Current Limits?PropertyBuildingPersonal PropertyLoss of Business IncomeAny Glass or Sign CoverageGeneral Liability LimitLiquor LiabilityAny Other Liability (E&O, EPLI, etc.)?Any Loss Payee or Mortgagee? If so, please state name and addressYear builtConstructionSquare Feet of BuildingType of OccupancyIf 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 DevicesType of RoofHow Many Full Time EmployeeHow Many Part Time EmployeesAnnual Payroll per yearAnnual Sales per year