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General Information
Does customer have current coverage?
Effective Dates
Current carrier
Current Premium ($)
Business Name
Contact Name
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
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Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
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New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Is billing address same as above?
Phone
Cell
Fax
Email
Age
Under 18
18-24
25-34
35-44
45-54
55-64
65 or Above
Prefer Not to Answer
SS#:
FEIN:
Year Business Started
Business Type
Sole Proprietor
Corporation
Partnership
Subchapter "S"
Primary Operation
What States will Work be Performed In
Managers/Owners Years Experience
Number of Employees
Annual Payroll ($)
Annual Sales ($)
Insurance Needed
Type of Insurance
General Liability
Commercial Auto Insurance
Equipment Insurance
Property Insurance
Umbrella Insurance
Workers' Compensation
Workers' Compensation
Limits Required:
$100/500/100 (State Required Minimum)
$500/500/500
$1Mil/1Mil/1Mil
These limits are in hundreds of thousands
Are Sub Contractors Used?
Are Certificates Required for Sub Contractors?
Payroll for Sub Contractors (if any) ($)
General Liability
Limits Required:
$300,000/600,000
$500,000/1,000,000
$1000,000/2,000,000
Total Direct Payroll ($)
*Owners and officers mandatory payroll used is $24,400 each
Gross Receipts ($)
Are Sub Contractors Used?
Total Sub-Contracted Work Cost ($)
Insured Sub Cost ($)
Uninsured Sub Cost ($)
% Commercial Work
% Residential Work
% Work Sub-Contracted
Type of Work Sub-Contracted
Are Certificates Required on Subs?
Additional Notes
Equipment Insurance
Equipment List
Year
Make
Model
Value ($)
Deductible Min $250
Serial Number
Storage Practice
Employee Tools Value (if any)
Owned and Borrowed Limit
Unscheduled Tools (Total Value)
Rental Expense Reimbursement
Yes
No
Rented/Leased Contractors Tools & Equipment Value ($)
Additional Notes
Commercial Auto Insurance
Limits of Liability:
Filings
Yes
No
What Type
ICC Form E
GA Form E
Physical Damage Deductible
Comprehensive
Collision
Fire/Theft/Specified Perils
MedPay
Yes
No
Rental
Yes
No
Vehicle Schedule
Year
Make
Model
VIN
Value
Column Deductible Min $2506
Driver Information
Name
License #
Age
State Licensed
Property Insurance
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Occupancy Type
Owner Occupant
Tenant
Lessors Risk
(If rental) Type of Operation
Building Value ($)
Personal Property Limit ($)
Construction Type
Frame
Masonry
Roof Typе
Year Built
Total Area
Number of Stories
Basement
Yes
No
Sprinklers
Yes
No
Alarm Type
Local
Monitored
If building is over 20 years old, Year of Last updates for:
Heat
Plumbing
Wiring
Roof
Loss Payee
Umbrella
Umbrella Insurance
Yes
No
Amount ($)
Additional Notes
Δ
Consumer Reports Names ERIE Highest Rated Auto Insurance
ERIE Has Been Named the Highest Rated Auto Insurance Provider by Consumer Reports
See More
Erie Insurance J.D. Power Award for Commercial Customer Satisfaction
Erie Insurance ranked #1 in small business insurance customer satisfaction, according to the J.D. Power 2025 U.S. Small Commercial Insurance Study.
For J.D. Power 2025 award information, visit
jdpower.com/awards
Medicare Smart Enroll
Medicare Smart Enroll
We offer Medicare Supplements, Medigap, Medicare Advantage and Part D. Click on the link below to begin the process. Or call our office today at
301-334-3968
and ask for Amanda Lewis, our Medicare Expert!
Smart Enroll