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Your business policy is coming up for renewal. Before we renew, we want to make sure your coverage still matches how your company operates today. Tell us what has changed in the past year. It takes about five minutes, and anything you're unsure about can go in the notes.

About you

Your operations

What your business does and where.

Have you added or stopped any products or services?
No change
Yes, changed
Opened, closed, or moved a location?
No change
Yes, changed
Any change in ownership, business name, or entity type?
No change
Yes, changed

Revenue and people

Many business policies are rated on these numbers.

Has annual revenue changed by more than 10%? (Share your estimate for next year)
No change
Yes, changed
Has your payroll or number of employees changed?
No change
Yes, changed
Are you using more or fewer subcontractors? (We may need their certificates of insurance)
No change
Yes, changed

Property and vehicles

Bought major equipment, inventory, or made building improvements?
No change
Yes, changed
Added or removed company vehicles or drivers?
No change
Yes, changed
Do employees drive their own cars for work errands?
No change
Yes, changed

Contracts and risks

Signed any contracts or leases with insurance requirements? (Additional insureds, higher limits, waivers)
No change
Yes, changed
Do you store more customer data or take online payments now? (Relevant to cyber coverage)
No change
Yes, changed
Any claims, incidents, or lawsuits this year?
No change
Yes, changed

Wrapping up

Best way to reach you
Email
Phone call
Text message

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(770)832-2461
100 College St.,
Carrollton, GA 30117
8:00 am -   5:00 pm Monday-Friday
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