Welcome to Abide Agency!

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Answer the questions below to help us better understand your commercial insurance needs

Email *

Your Name (First and Last) *

Principal/Owner Name (If you are not an owner/principal)

Owner/Principal date of birth *

YYYY

Business Legal Name (If different than your name)

Business DBA (if applicable)

Business FEIN number or "None" if individual *

What type of business structure is it? *

Individual/Sole Proprietor

LLC

Corporation

Partnership

Other:

How long has this business been active? *

It is starting up soon

Less than a month

Less than a year

1-2 years

3-4 years

5 or more years

How did you hear about Abide Agency? *

Internet Search

My insurance agent referred me

Another client referred me

Other:

What type of insurance would you like Abide Agency to help you obtain? (Check all that apply.) *

I have no idea! I just know I need "insurance" for my business.

General Liability/Protection from legal action (Businesses, Schools, Contractors, Etc...)

Malpractice/Professional Liability Insurance (Lawyers, CPAs, Physicians, Etc...)

Commercial/Business Auto

Worker's Comp

Excess (sometimes called "Umbrella") Insurance

Builder's Risk for a structure I am going to build

Property coverage for a building I own

Coverage for my business property in a space/building. I'm a tennant.

Flood Insurance

Event insurance for a one time special event

Coverage for my tools, scaffolding, machines, or other equipment

Health insurance for my employees

Cyber Insurance

Employment Practices Liability Insurance (Lawsuits about overtime, discrimination, etc...)

Other:

Required

What types of insurance do you (personal & business) CURRENTLY have? (This helps us know if there might be gaps in coverage that we need to consider.) *

Personal Auto

Business/Commercial Auto

Health (Through a group plan)

Health (Through an individual plan)

Health (Other)

Home Insurance

Renter's Insurance

General Liability Insurance for this business

Worker's Comp Insurance for this business

Property Insurance for my Business

Umbrella Policy

Other:

Required

Agent Preference? *

Any Available Agent

Carol Gant (Workers Comp and GL for New Venture Artisan Contractors)

DeAnna Jeanty (Commercial Auto, General Liability, Business Property, Builders Risk)

Krista Hoffman (Multiline Business, Businesses w/ $1M+ Sales, Commercial Buildings, Complex/Hard to Place Risks)

How do you prefer that we contact you?

Phone

Email address *

Best phone number to reach you with questions *

Mailing Address (Street and Zip) *

Business Property Address if different from mailing address *

Does your business have a website or a Facebook page? If so, please put links or web addresses below: *

If your business DOES NOT have a website or a Facebook page, briefly describe your business.

Underwriters WILL look at your business Facebook page and google your business. Please be sure you are FULLY licensed and insured for anything you COULD APPEAR to be doing in your pictures. *

Ok, I'll double check that to be sure that my pictures reflect my scope of work and license.

I'll take my chances. I really like the picture of me hanging upside down with a saw.

My business doesn't have a website or facebook.

We have relationships with lots of insurance carriers so we can match you with the best company for your needs. Which option below best describes your needs? *

Minimum coverage-I want protection for major losses only; I don't want to spend very much.

Average coverage-I want protection similar to others in my same business

Broad coverage-I want as much covered as possible even if it costs a lot more

I'm not sure. Help me understand my options a little better.

Our agents try to match our services to your specific needs. We typically have access to the same carriers that other agents in the area have. However, If 2 agents present your account to the same carrier, it confuses the underwriters and can cause a delay in getting you appropriate coverage. Help us to help you please by indicating your preference: *

I'm not working with other agents. Please complete my applications based on our discussions and shop multiple carriers on my behalf.

I have contacted at least one other agent about this coverage in the last 60 days. I'll send you their information so that you can coordinate your searches.

I have contacted at least one other agent, but am not actively working with them. I will sign a release if needed so you aren't blocked from any markets.

When do you need to have insurance coverage in place? *

ASAP, Today if possible.

Within the week

Within 2-3 weeks

WIthin 4-5 weeks

I'm not sure yet.

A copy of your responses will be emailed to the address you provided.

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