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Online quote

Business insurance

For your security, the personal information you submit is secured through Geotrust.

As a user of our "Request an online quote" you allow us to use our time to review your file and looking for the insurer offering the best protection and pricing for your business.

If you need help to fill the form, please contact us, we will be happy to assist you.

Client information
* Owner name:
* Birthdate:
* Phone:
  Fax:
 
* Email:
  Website:  
* Mailing address:
* City:
* Postal code:
       
* Does the owner or one of the associates has a criminal record?
Yes No
 
 
Person responsible for insurance deal
 
Same as client information (owner)
 
* Name:
  Title:  
* Phone:
  Fax:
 
* Email:
 
Company Information
You must answer all questions because the insurer charge your premium according to each of the requested information.
     
* Name of the company owned:
 
Same address as client
 
* Address of risk:
* City:
* Postal code:
       
* Description of the activity and/or operation type of your business:
  Name the tenants in your building :  
       
* Is it an apartment building?
Yes No
* Is it a condominium?
Yes No
       
Question for liability pricing
* What is the number of employees?
       
* Number of years in business:
       
  Current insurer:  
 
Effective date of your contract:
Expiration date of your contract:
Number of your insurance policy
(if available)
 
       
* Has an insurer already canceled one of your insurance policies
or refused to insure you?
Yes No
     
Information on claims
* Have you made any claims in the last 6 years?
Yes No
     
 
     
Construction
Description of the structure and building materials of the building you own or rent
  Year of construction if known?  
 
Year:
 
* What is the total usable space of your building, your room or office?  
   
Square feet: sq.ft.
Square meters: sq.m
  What is the total area of the building where your business is located if known?  
   
Same as usable space
Square feet: sq.ft.
Square meters: sq.m
* What is the number of floors including the basement?  
    floors
* What is the structure of the walls?  
   
Wood paneled brick Concrete on steel structure
Masonry Fire resistant
Aluminum, vinyl, Connexel Metal panels
* What is the structure of the roof?  
   
Wood frame Poured concrete
Steel beam Concrete
* What is the roof sheathing?  
   
Asphalt shingles Concrete
Tar and gravel Other
Sheet metal    
  What is the structure of the basement? (if applicable)  
   
Wood (posts or beams) Concrete
Concrete blocks Other
* What is the structure of the floors?  
   
Wood frame Concrete
* What is the type of heating?  
   
Electric Central
Radiant    
       
* Is there an additional heating system?  
   
Yes No
* Your electrical boxes consist of:  
   
Breakers Breakers and fuses
Fuses    
       
Renovations
  Please inform us of the renovation year of the following construction elements:  
   
Roof (if known):
Year: Complete
    Partial
 
   
Plumbing (if known):
Year: Complete
    Partial
 
   
Heating (if known):
Year: Complete
    Partial
 
   
Electricity (if known) (wiring and/or electrical boxes):
Year: Complete
    Partial
 
     
 
 
     
Neighborhood risk
Mention the type of your building immediate neighbors (ex.: residential, home, retail store, restaurant, gas station, etc.) and enter the distance between the neighbor and your building.
  Back:
Type of neighbor:
 
   
Distance: Feet:
  Meters (m):
 
       
  Left:
Type of neighbor:
 
   
Distance: Feet:
  Meters (m) :
 
       
  Right:
Type of neighbor:
 
   
Distance: Feet:
  Meters (m):
 
       
Protection against fire and theft
  Does your business or property owns a protection system against fire?  
 
None
Alarm not connected to a monitoring station
Alarm connected to a monitoring station
Portable fire extinguishers
Automatic water sprinkler
Chemical sprinklers
No sprinkler
Carbon monoxide detector
 
       
  Does your business or property owns a protection system against theft?  
 
None
Alarm not connected to a monitoring station
Alarm connected to a monitoring station
Alarm connected to a monitoring station with protected DIVAC
Mesh in the windows
Glass break detectors
Fence
Outdoor lighting
Surveillance cameras
 
       
* What is the distance from the hydrant to your business or building?  
   
Less than 150 metres No hydrant
Less than 300 metres    
       
* What is the distance from the fire station to your business or building?  
   
Less than 2,5 km Less than 8 km
Less than 5 km More than 8 km
     
 
 
     
Type of insurance, method of compensation and method of payment
Please note that in general a promotional rule applies depending on the categories of goods and on the selected insurers, the % will be specified upon receipt of the quote request
* What type of contract do you want?  
   
All-risks
Specified risks
       
* What is the desired method of compensation?  
   
Replacement value
Value on the day of the event
       
* What payment method do you prefer?  
   
Direct bank debits
1 paiement
Other
       
Coverage of goods
What is the insurance and deductible requested for the following goods value ?
* Building  
   
I am the owner
I rent
       
  Equipment, content    
   
Amount: $
Franchise: $
 
       
  Merchandise (goods , office equipment , machinery, tools , etc.) (if applicable)  
   
Amount: $
Franchise: $
 
       
  Computers, electronic and peripherals (if applicable)  
   
Amount: $
 
       
  Sewer backup  
   
Amount: $
 
     
  Operating losses , loss of revenue or loss of rent (if applicable)  
   
Amount: $
Unknown
 
       
* Machine breakdown  
   
Yes, without air conditioning
Yes, air conditioning and refrigeration included
Not applicable or refusal of protection
       
* Earthquake  
   
Yes No
       
* Flood  
   
Yes No
       
* Broken glass, windows  
   
Yes No
       
* Broken sign  
   
Yes No
       
* Goods in transit  
   
Yes $
No  
       
* Insurance against crime, money misappropriation, loss of money, destruction of valuables.  
   
Yes $
No  
       
Liability
What protections do you want?
* Commercial general liability  
   
Yes $
  Minimum material damage franchise: 500$
No  
       
* Tenants legal liability  
   
Yes $
No  
       
* Liability director & managers  
   
Yes $
No  
       
* Liability due to pollution  
   
Yes $
No  
       
* "Umbrella" type supplemental liability  
   
Yes $
No  
       
Additional relevant information
   
     
 
 
     
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