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Serving the Trucking Industry for Over 30 Years

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General Information
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Business Address:
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Zip: Country: United States
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Contact Person Information
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Last Name:
 
Day Phone: Night Phone:
Best Time To Call(HH:MM):        
E-mail Address: *
 
 
Please Tell Us About Your Business
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Number of Years in Business: Number of Business Locations:
Type of Business:
Annual Gross Sales (Before Tax) ($): Cost of Any Sub Contracted Work ($):
Please give a brief description of your business & clientele:
 
Location 1 Information
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City: State:
Zip: Country: United States
Year Built In: % Occupied:
Building Value ($): Contents ($):
Type of Ownership:    
Construction Type:
Number of Basements: Area (Sq. Feet):
Burglar Alarm:       Sprinklers:      
 
Location 2 Information
Address:
City: State:
Zip: Country: United States
Year Built In: % Occupied:
Building Value ($): Contents ($):
Type of Ownership:      
Construction Type:
Number of Basements: Area (Sq. Feet):
Burglar Alarm:       Sprinklers:      
 
Current Insurance Information
Insurance Company Name:
Policy Expiry Date (MM/DD/YYYY): Premium Amount ($):
Any Losses In Last 3 Years?       Same Company Policy Since?
 
Please Provide An Approximate Amount For The Type Of Coverage You Want
Choose The Type of Coverage You Are Looking For:
Liability Coverage (Ex. $300,000, $500,000, $1 Million, etc.): Building Coverage ($):
Business Content Coverage ($): Miscellaneous Coverage ($) (All Coverage including Loss of Earnings, Valuable Papers, etc.):
Any additional comments or information that might be helpful in your Business Owners insurance quote:
 
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    Alvarado Insurance Brokers Inc.
    P.O. Box 1885,
    504 Adams Ave. ste 1,
    El Centro, CA 92243

    Phone: (760) 353 6328
    Fax:      (760) 353 1433
    E-mail: taibinc09@yahoo.com
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