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Home
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Request-A-Quote
>
Business Earthquake Insurance Quote
Use the quick and easy form below to recieve free advice regarding Buisiness Earthquake insurance.
Business Name:
Doing Business As (if different than above):
First Name (of applicant):
Last Name (of applicant):
Email Address
Address:
City:
State:
Zip Code:
Type of Organization:
Sole Proprietor
Corporation
Partnership
LLC
Other
How many Buildings do you have?
One
Two
Three
Building One
Address
City
State
Zip Code
Description of Operations/ Occupancy
Year Built
Number of Stories
Total Square Footage
Construction Type
Frame
Metal
Stucco
Masonry / Brick
Brick Veneer (if over 10%)
Joisted Masonry
Concrete Block
Log
Mobile / Modular
Other
Is the building foundation reinforced or engineered high-strength concrete?
Yes
No
List and describe any built-on additions to the building:
Deductible
5%
10%
20%
Limits of Coverage for Building
Limits of Coverage for Business Personal Property
Is any part of the building on stilts, pylons or above-ground pilings?
Yes, Please Explain
No
Is there any parking area within or under the building?
Yes, Please Explain
No
Has any company cancelled, declined, or refused to renew similar insurance in the last 3 years?
Yes, Please Explain
No
Is there any part of the insured building within 30 feet of a land slope of greater than 15% incline?
Yes, Please Explain
No
Is the building foundation on firm, natural ground?
Yes
No, Please Explain
Has the described location experienced any earthquake or landslide losses?
Yes, Please Explain
No
If any of the previous six questions required explanation please provide brief discription here:
If you have additional buildings, please contact
office@hansoninsurancegroup.com
for an extended form.
While we are preparing your Business Earthquake Quote, if you are also interested in obtaining quotes for other lines of insurance, please select the coverage lines you would like quoted.
Commercial Property
Workman's Compensation
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Commercial Equipment
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Home Earthquake
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Location
350 NW Elks Drive
Corvallis, OR 97330
Ph: 541-207-1370
Fx: 541-758-2718
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