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Property Liability Quote
Commercial Property Insurance Quote

Contact Information
Name of Business:
Contact Name:
Premises Address:
City:
State: Zip:
Business Phone:
Fax Number:
Contact Email Address:
Years in Business:
Description of Operations
or SIC code(s):

Current Insurance Information
Current Insurance Carrier:
Premium: $ Expiration Date:
Annual Sales: $ Payroll: $ Business Income: $
Other Insurance Company Used Within Past 3 Years:
Policy #:
Losses past 3 years: Amount paid for each loss: $
Description of losses or loss runs:
Coverage's Desired
Liability Limit Desired: Deductible Desired:
Or choose other liability limit amount: $
Umbrella Amount Desired:
Building 1
Building Value: $ Contents Value: $
Total Building Area: Year Built:
Construction Type: Sprinklers:
Electrical Type: Amps:
Electrical Renovation Year:
Plumbing Renovation: Plumbing Renovation Year:
Heating Type: Heating Renovation Year:
Roofing Renovation: Roof Age (years):
Central Alarm:

List Neighboring Businesses:
To the right: Distance:
To the left: Distance:
To the rear: Distance:
Building 2
Building Value: $ Contents Value: $
Total Building Area: Year Built:
Construction Type: Sprinklers:
Electrical Type: Amps:
Electrical Renovation Year:
Plumbing Renovation: Plumbing Renovation Year:
Heating Type: Heating Renovation Year:
Roofing Renovation: Roof Age (years):
Central Alarm:

List Neighboring Businesses:
To the right: Distance:
To the left: Distance:
To the rear: Distance:
Additional Comments
Please give any additional comments or questions

No coverage of any kind is bound or implied by submitting information via this online form

  • Information from you and other sources, such as your driving, claims and insurance histories, may be used to calculate an accurate price for your insurance.
  • We will not distribute information to other parties other than for insurance underwriting purposes.
  • By submitting this form, you agree to release us from any liability should this information be accidentally viewed by others.
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TMC GROUP HAS JOINED THE EPIC FAMILY OF COMPANIES

Experience the same high-touch, local support from the TMC Team you know with the added power of national scale. 

As one EPIC company, we offer expanded Risk Management, Property & Casualty and Employee Benefits services to our clients. To learn more about the benefits of the the partnership, read the press release for further details.

Visit our website at www.epicbrokers.com or click through the links to several of our individual disciplines listed on the right.

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