Commercial Quote Entry for Agents

Commercial Quote Request Form for Agents

*Your prospect should already be entered in Hawksoft* This form asks the MINIMUM REQUIRED information needed to start a new commercial quote. Depending on your risk, additional information may be requested before quoting can start.

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Product Selection
Hello! What would you like a quote for?*
- General Liability monoline
- Commercial Property monoline
- BOP (GL+Property)
- Workers Comp
- Umbrella
- Bond
- Commercial Auto
- Tools & Mobile Equipment
- Contractors Pollution Liability
- Cyber Liability
- Professional Liability / E&O
Check all that apply. You can tell us if there is something else you need a quote for in just a moment.

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Basic Info
Business Legal Name or DBA if applicable for Sole Proprietors*
Include your LLC/Corp name and your DBA, e.g. ACME Construction LLC DBA Nevada Contracting
Legal Entity Type*
Contact Name*
First Last
Basic Info
Phone*
Email*
How many years in business, or years experience if it's a new venture?*

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Description of Business Operations*
Please provide a short description of the Business Operation (at least 5-10 words preferred)
Insured Location Address*
Street Address Address Line 2 City State ZIP Code
Is there a different Mailing Address?*
- Yes
- No
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Are there multiple physical locations?*
- Yes
- No

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Estimated Gross Annual Sales*

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Payroll Break Down - Be Specific*

Job/Class Code	Annual Payroll	# of Employees

Example: Clerical | $50,000 | 2

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This is not required, but if readily available, please upload your most current Certificate or insurance policy coverage declarations pages in PDF format so we can see the exact coverage limits you'd like us to compare. These can be easily downloaded from your online profile with your current provider (if you have a login), or from your current agent.
Drop files here or

Max. file size: 39 MB.

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What led you to request this quote?*
- Internet Search
- Facebook Search/Page
- Referral
Who referred you to us?*
If you have any other questions, comments or requests, please leave them here

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Save time, aggravation, and money

At no additional cost to you, we can work on your behalf to compare your current coverage with a wide range of insurance companies to see who has the best possible deal on your insurance.

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