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Update My Business Insurance Info

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Update My Business Insurance Info

Update My Business Insurance Info

Barbara Caton2023-05-10T10:25:20-04:00

Business Review Questionnaire

To assist us in protecting you against possible uninsured losses, and to keep your business insurance information current, please complete the following questionnaire.

"*" indicates required fields

Do you wish to make, or do circumstances require any changes to your current liability limits or coverage amounts?*

If yes, please describe.

YES

NO

Please describe*

Have you made any improvements or renovations to your buildings or added any structures since you last reviewed the coverage amounts on your policy?*

If yes, please describe.

YES

NO

Please describe*

Does your building/premises have:

Smoke detectors*

YES

NO

Dead bolt locks*

YES

NO

Fire extinguishers*

YES

NO

Alarm system*

YES

NO

Storm shutters*

YES

NO

Have you added, changed, or deleted any security systems, safes, or sprinkler system?*

If yes, please describe

YES

NO

Please describe*

Any changes or additional equipment, signs, computer equipment, or tools purchased?*

If yes, please describe

YES

NO

Please describe*

Has there been any change in your business; such as:

New products sold or services provided?*

If yes, please describe

YES

NO

Please describe*

Changes to existing products or services offered?*

If yes, please describe

YES

NO

Please describe*

Changes in operations or types of work performed?*

If yes, please describe

YES

NO

Please describe*

Are you regularly in possession of other people’s property? (i.e., for repair or maintenance)?*

If yes, please describe

YES

NO

Please describe*

Do you or any employee carry company money off site?*

If yes, please describe

YES

NO

Please describe*

Are all owned or leased vehicles listed on your policy?*

YES

NO

Do you work, maintain or operate a business, or keep samples for your business at any other location not listed on your policy?*

If yes, please describe

YES

NO

Please describe*

Does the business own or rent any water craft or aircraft?*

If yes, please describe

YES

NO

Please describe*

Does the business own any animals such as guard dogs?*

If yes, please describe

YES

NO

Please describe*

Have there been any changes in:

Payroll?*

If yes, please describe

YES

NO

Please describe*

Sales receipts?*

If yes, please describe

YES

NO

Please describe*

Space occupied?*

If yes, please describe

YES

NO

Please describe*

Do you own any additional property, vacant land, or rent or sublet any portion of your building to others?*

If yes, please describe

YES

NO

Please describe*

Do you obtain certificates of insurance for all subcontractors?*

YES

NO

Your business policy DOES NOT provide flood insurance. Would you be interested in a flood insurance cost quotation?*

YES

NO

Would you be interested in a quotation for Life, Retirement, Group Health or Disability insurance?*

If yes, please describe

YES

NO

Please describe*

Thank you for taking the time to complete this questionnaire. Please call our office at 386-767-3161 if you would like to discuss any of the above items.

Business Name*

First Last

Title:*

Policy Number*

Phone Number:*

Email Address:*

Name

This field is for validation purposes and should be left unchanged.

States:

- Florida
- California
- See all states...
- FL Insurance # L002652
- CA Insurance # 0D86617

Contact Us

Office:
Caton Hosey Insurance
3731 South Nova Road
Port Orange, FL 32129
Phone: 386-767-3161
Email: Contact form
Business Hours:
- Monday-Thursday
  8:30am-12pm and 1pm-5pm
- Friday
  8:30am-12pm and 1pm-4pm
- Saturday-Sunday
  Closed