Commercial Quote Sheet

General Liability (Company Will Audit at Expiration)

Payroll

Gross Sales

Total # of Employees

PT/FT (per classification)

Give total number of both Part Time & Full Time Employees

Area (LRO: Need tenant specific details need sq. ft. and description of each tenant occupancy)

Misc Information

Liquor Liability

Annual Alcohol Sales

% of Alcohol Sales

Limit Requested

Property (Company Will Inspect Property)

Interest in Building (owner, tenant)

Building Physical Address & Occupancy (list all tenants occupancy)

Sq. Footage Occupied (breakdown per tenant)

Total Sq. Footage of Building

Year Built

# of Stories

Construction

Heating (year updated)

Wiring (year updated)

Fuse Box

Plumbing (year updated)

Roof (year updated)

Roof Material

Protection Class

Building Limits

BPP Limits

ILM

Deductible Information/Misc Information

Workers Comp (Company Will Audit at Expiration)

Total # of Employees

Give total number of both Part Time & Full Time Employees

Payroll (Per Classification)

Class Codes/Description of Jobs of Employees (Per Location)

Officers Names

Include/Exclude

Exp Mod

Misc Information / Audit Contact

Commercial Auto

Liability Limit

UM Limit

Med Pay Limit

Vehicle(s): Year, Make, Model, VIN, GVW, Radius, Usage, Hitch Type, # of Job Sites, Value, Deductibles, Permanently Attached Equipment & Value.

Driver(s): Name as on License, State & License Number, Date of Birth, Any Accident/Violations, CDL - if yes, original date of issue.

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Jack Bradley Agency