Sava Insurance located in Waterford, CT

Please provide the following information to obtain a quote:

Sava Insurance is Licensed in CT and Rhode Island only.

Please remember, that no coverage should ever be considered bound until you have received confirmation from our office.

Please provide us with your contact information to complete this quote form:

What is your name? *

What is your address? *

What is your e-mail address? *

What is your phone number? *

What type of phone number is this? *

How did you hear about us? * Name Company

What is the best time to contact you? *

Please describe your business: *

Address: *

City: *

State: *

Zip Code: *

How many years have you been in business? *

What type of entity is this company? *

Please describe:

Are you a contractor? *

Please provide information about your contracting business:

Do you use sub-contractors? *

Do you require certificates of insurance from all sub-contractors? *

What is the percentage of work that you sub-contract? *

Will you need a blanket additional insured endorsement? *

Is this liability coverage for a building that you own and rent to others? *

Please provide information about the building that you rent out:

How many units are in the building?

What is the square foot area of the building ?

Is the building commercial or residential?

List tenants occupying the building:

What percent of the building is occupied?

Please provide information about the rating basis of the general liability:

Select category of your business from choices: *

Please provide information on payroll and costs:

What is the total estimated cost of sub-contracted labor? *

List your the different types of work your employees do and the payroll associated with each:

Sales and clerical employee do not need to be included in this listing.

Please provide information on your revenue:

What is your total estimated annual revenue? *

Please provide information about the coverage you would like quoted:

What liability limits would you like us to quote? *

Please describe: *

Would you like employee benefits liability included in the quote? *

Do you currently have general liability insurance? *

Name of insurance company:

Policy number:

Date coverage expires:

/ /

Reason for requesting a quote: *

Additional Information:

Comments or additional information:

Did You Know?

Since payrolls and revenues are estimated, most general liability policies are audited at the end of the year to obtain the exact figures.

Would you like someone to contact you about this? *

I accept theTerms and Conditions.

General Liability

Please provide the following information to obtain a quote:

Please provide us with your contact information to complete this quote form:

Please provide information about the rating basis of the general liability:

Additional Information:

Did You Know?