General-Liability-Ins.com offers fast contractor and business liability quotes for CA
On-Line Commercial General
Liability Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!


Your Personal Data

Your Name:
Business Name:
Property Address:
City:
State (Must be California):
Zip/Postal:
E-Mail (REQUIRED):
Phone:
Fax (optional):
 
Underwriting Information
 
Date Coverage Needed:
 
Prior Carrier:
 
Describe Business:
 
Gross Annual Receipts: $
 
Gross Annual Payroll: $
 
Square Footage of
Your Business Location:
$
 
Number of Employees:
 
Tell us what kind of
commercial coverage you
are looking for, and why:
 
Prior Claims? Yes No
Describe claims in detail:
 

Limits & Coverages:
Liability Limits: $100,000    $300,000
$500,000    $1 Million
 
Business Contents Needed?
If so, list type and amount:
 
Comments/Remarks:
 
Send my quotation via: E-Mail Fax
Regular Mail
Call me by Phone


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What Our Valued Clients Are Saying!
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General-Liability-Ins.com's satisfied client testimonials"You reduced my General Liability premium by $2,600 a year! Thatís $2,600 added to our bottom line with one phone call."
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General-Liability-Ins.com's satisfied client testimonials"I called your office and at first was skeptical - but you reduced my Liability cost by $1,800 a year with a national carrier. I canít thank you enough!"
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General-Liability-Ins.com's satisfied client testimonials


Imperial Insurance Agency | 22938 Lyons Avenue | Newhall, CA 91321 | Toll Free: 800-645-8884 | Fax: 661-290-2770 | CA Lic.#OB04327

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