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GENERAL LIABILITY INSURANCE QUOTE

Please fill out the attached questionnaire as completely as possible. Remember, the more accurate the information is, the more accurate the quote will be 
First Name  Last Name 
Company Name
Street Address 
City  State  Zip
Phone  Fax  Email 

Please provide us with a thorough description of your operations!

What limit of Liability Insurance?

What is the square footage of your office?

What are your estimated gross receipts for the upcoming year?

What are your estimated sub-contracted costs?

What is you annual payroll, excluding owners and clerical?

Have you had any claims in the past three years?   If so, please write a complete description and the amount of the loss(es).

Please provides us with your comments here:


Theodore Insurance Agency, Inc.
20335 Ventura Blvd. #425
Woodland Hills, CA 91364

Phone: 877-4-TIA-INFO (877-484-2463)
Fax: 877-FAX-4-TIA (877-329-4842)

email: theodore insurance agency



Mexico Insurance Quotes : Homeowner's - Automobile - Business
Our Agency Who We Are - Industries We Serve - Comments - Carriers We Represent Quotes - E-Mail
Personal Programs Homeowner's - Automobile - Townhome - Personal Health - Life - Renter's Condominium - Earthquake
Business Programs General Liability - Commercial Auto - Workers'Compensation - Group Health Apartment Owners - Condominium Assocs. - Earthquake