Sava Insurance located in Waterford, CT

Please provide information about your business:

Small business quotations include property and liability coverage in one comprehensive package.

Contact Name: *

E-mail Address: *

Phone: *

Please describe your business: *

What is your business address? *

How many years have you been in business? *

What type of entity is the business? *

Please describe:

What is your expected revenue (sales) for the next 12 months? *

How many employees do you have? *

Please provide information about the property portion of the package:

Do you own the building you are located in? *

Please provide information about the building you occupy:

Have you made improvements to the building? *

Improvements can be adding permanently attached shelving, flooring, etc.

What is the value of the improvements?

Please provide information about the building:

What is the amount of building coverage on your current policy?

Buildings will be quoted on a replacement cost basis.

Is there a mortgage on the building? *

Name and address of mortgage company:

Please provide general information about the building:

What year was the building built? *

Have you made improvements to the building? *

What is the value of the improvements?

Is there a mortgage on the building? *

Name and address of the mortgage company:

What year was the building built?

Describe any updates to roof, heating, and electrical systems: *

What is the construction of the building? *

Please describe: *

How far away is the building from a fire hydrant? *

What is the square foot area of the building? *

Indicate the square foot area for the portion of the buildng that you occupy:

Do you have a sign? *

Is the sign attached to the building?

What is the value of the sign?

The question regarding glass plates does not apply to Canada:

Does the building have glass plates?

This question does not apply to Canada:

Please provide the dimensions of the glass by plate:

Please provide information about the contents or inventory:

What is the value of your contents (including inventory)? *

Does your inventory value fluctuate more than 25% for a certain season? *

Do you have possession of property of others as a general course of business? *

Please describe: *

Please provide information about the liability portion of the package quote:

CANADIAN Businesses, what liability limit would you like us to quote?

Non-Canadian businesses, what liability limit would you like us to quote?

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

Do you own any vehicles? *

Please provide information about your existing business insurance:

Please describe any claims you have had in the past five years:

Name of current insurance company:

Policy number:

Date coverage expires:

/ /

How did you hear about us? *

Additional Information:

Comments or additional information:

Did You Know?

Fences are not included in most property policies without being separately scheduled.

I accept theTerms and Conditions.

Small Business

Insurance for Specific Businesses

Please provide information about your business:

Please provide information about the property portion of the package:

Additional Information:

Did You Know?