This is referred to as BOP for short, is a combination of liability and property insurance. It is designed to save the small to medium-sized business owner money when compared to buying policies separately. A BOP ordinarily provides building and contents coverage, business income and extra expense coverage and can provide crime, boiler and machinery, inland marine and liability coverages.

As a general underwriting guideline, BOP insurance is for small businesses and annual company revenues must be under $1 million. Actual guidelines will vary from carrier to carrier.

 

General Information:

 

 

1.  *First Name:  
2.  *Last Name:  
3.  *Phone:  
4.  *Email:  
5.  Address:  
6.  Address:  
7.  City:  
8.  *State:  
9.  *Zip Code:  
9.  County:  
The following questions concern the type of business insurance coverage you are requesting . Please answer them as accurately as possible.
1) Business Type:
2) Business address:
3) City:
4) State:
5) Zip Code:
6) Do you own or lease the location? Lease Own
7) Year built:
8) Number of stories in the building:
9) Which floor do you occupy:
10) Number of sq ft occupied
11) Construction type:
12) Does your suite have sprinklers: Yes No
13) Type of parking available:
14) Are there day care facilities: Yes No
15) Outside cleaning services: Yes No
16) Is there a pool? Yes No
17) Is the pool fenced? Yes No
18) Does the building have security? Yes No
19) Type of security:
20) Is your office located within 1000 ft of a fire hydrant? Yes No
21) Hours of operation
TO
22) Do you work weekends? Yes No
23) Please list any scheduled personal property items or collectibles for which you need additional coverage. Please indicate the type and amount, for example, 'Computers $25,000.'
Description:   Amount ($):
Description:   Amount ($):
Description:   Amount ($):
Description:   Amount ($):
Description:   Amount ($):
Description:   Amount ($):
Description:   Amount ($):
 
24) Liability Amount:
25) Deductible:
26) Please check off any additional coverage's/riders you want your policy to include.
Errors And Omissions
Professional Liability
Surety Bonds
Fidelity Bonds
Fire Insurance
Miscellaneous Professional Liability
 		 Umbrella
Sexual Harassment
Weather Insurance
Workers' Compensation
Directors and Officers Liability
 		 Employee Dishonesty
Product Liability Insurance
Business Interruption Insurance
Inland Marine Insurance
General Liability
27) In the past five years have you reported any losses for the property? Yes No
28) If you have, were those claims:
Please complete the questionnaire, and we'll begin our search for the most suitable insurance policy for your business.
29) Best Time To Contact:
30) Additional Comments:
Please provide any additional information you feel is pertinent to the insurance coverage you need.

 

 
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