Commercial Lines Customer Information"*" indicates required fieldsPreferred AdvisorAmanda ChenApril HolmesGerald ShopeTyson ClarkBusiness DetailsBusiness Name:*Business EntityLLCCorpNon-ProfitPartnershipSole ProprietorFEIN / Tax-ID Number:*Primary Contact Name* First Last Phone Number:*Email:* May we text you at this phone number?* Yes NoMailing Address:* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is Physical Address Same As Mailing Address?* Yes NoPhysical Address:* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Website Address: Effective Date: MM slash DD slash YYYY Are You A Contractor?* Yes NoBrief Description of Operations:Names and % of Ownership for all Officers:*Full NamePosition% of Ownership Add RemoveYear Business Started:Number of Employees:Estimated Annual Payroll:Estimated Annual Revenue:Additional Contractor DetailsContractors License #% of work Subcontracted out% of Residential Work% of Commercial Work% of Remodel/Install work% of New Construction Work% of Service/Maintenance WorkDo you perform any government work? Yes NoPlease upload your current insurance documents if you have them available. You may also upload any additional documents or files necessary to quote your insurance. Drop files here or Select filesMax. file size: 1 GB, Max. files: 5.CommitmentIf I can deliver on are you ready to commit to doing business with me and Clear View? Yes, I am ready to commit No, I want to see what my other options areWhat will be the primary factor you use when making a decision on who to work with for your business insurance needs? Target price Specific coverage Specific element of client experience Something elseWhat is most important to you that would help you feel secure in making a commitment to Clear View?If I can deliver on those specific goals, will you commit to giving me and my team the privilege of being your insurance representatives? Yes, I can commit to that under those conditions No, I'm going to look at several options no matter what you come back withThank you for letting me know. It sounds like we are not on the same page about expectations and the value that our team delivers to our clients. I don’t think it makes sense for us to proceed with this insurance relationship. We're not interested in competing the be the lowest priced insurance program. We work to deliver the best available mix of coverage, cost and value. Thanks for your time. Please feeI free to reach out again if your needs change.Consent* I agree to the privacy policy and provide my consent to be contacted by Clear View Insurance Specialists regarding my commercial insurance quote request.https://clearviewinsure.com/privacy-policy/Comments - Notes - DetailsCAPTCHA
