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On-Line Commercial General
Liability Insurance Quote Form
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Your Personal Data

Your Name:
Business Name:
Property Address:
City:
State: (Must be Massachusetts)
Zip/Postal:
E-Mail (REQUIRED):
Phone:
Fax (optional):
 
Underwriting Information
 
Date Coverage Needed:
 
Prior Carrier:
 
Describe Business:
 
Gross Annual Receipts: $
 
Gross Annual Payroll: $
 
Square Footage of
Your Business Location:
$
 
Number of Employees:
 
Tell us what kind of
commercial coverage you
are looking for, and why:
 
Prior Claims? Yes No
Describe claims in detail:
 

Limits & Coverages:
Liability Limits: $100,000    $300,000
$500,000    $1 Million
 
Business Contents Needed?
If so, list type and amount:
 
Comments/Remarks:
 
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    Edmond Flanagan Insurance Agency, Inc.  |   1 Mountain Road  |   Burlington, MA 01803  |   Phone: 781-272-8210  |   Fax: 781-272-2362
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    Massachussets homeowners, MA auto insurance, business insurance and other insurance for MA residents. Free Massachusetts insurance quote.