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Renewal Questionnaire for Business Owners Policy(ies)Britt Alonzo2022-03-03T19:06:20+00:00

Renewal Questionnaire for Business Owners Policy(ies)

Thank you for taking the time to answer these questions. Your response enables us to make sure your policy is accurate and up to date. Please review the attached Summary of Insurance while completing this. There is space at the bottom for you to fill in any changes or questions.

Property Questions

Is the Named Insured correct as shown?

Yes

No

Is the property location a condominium unit?

Yes

No

Do you own the unit (or your building, if not a condo)?

Yes

No

If yes, do you own it in the firm’s name?

Yes

No

If you lease the location(s), have you made improvements to the space you lease (i.e. a buildout, carpeting, cabinetry, etc.)?

Yes

No

Are the Building and Business Personal Property limits sufficient to replace the location in the event of a total loss?

Yes

No

Are ALL locations of the firm listed on the policy, including off-site storage units or part-time locations?

Yes

No

Are there any office-sharing arrangements with another firm or business?

Yes

No

Have you formed a new corporate entity for any reason? (If yes, you will be asked to describe.)

Yes

No

If yes, please describe:

If applicable, are the Certificate Holders listed on the policy still current? (Certificate Holders are entities which require evidence of insurance, such as a bank or landlord.)

Yes

No

Do you have any property (office equipment, artwork, etc.) valued at over $100,000?

Yes

No

Would you like a quote to increase your computer limits?

Yes

No

Would you like quotes to increase your Employee Theft, Forgery, and other crime coverages?

Yes

No

Do you want to purchase (or increase) a daily limit for Loss of Business Income?

Yes

No

Are there any property coverages or limits listed on your Summary of Insurance that need to be updated?

Yes

No

Liability Questions

Is your Fire Legal Liability limit sufficient? (Limits available are $300,000, $500,000 or $1M.) (This covers damage to a space you lease, if you are responsible for the damage.)

Yes

No

Are you interested in getting quotes for an Umbrella, or to increase an existing Umbrella’s limits?

Yes

No

Are there any vehicles titled in the corporate name?

Yes

No

If yes, do you have a Commercial/Business Auto policy?

Yes

No

Do your employees use their own cars on company business (i.e. bank deposits)?

Yes

No

How many employees do you have (include FT and PT)?

If you offer a Pension or 401(k) Plan, do you need ERISA coverage?

Yes

No

Are you interested in getting quotes for Cyberliability/Security Breaches?

Yes

No

Are there any liability coverages or limits listed on your Summary of Insurance that need to be updated?

Yes

No

Claims/Losses

During the year, did you report any claims or losses to the insurance company? (If yes, you will be asked to describe.)

Yes

No

Describe claims or losses reported:

Please tell us about any additions, deletions or changes you need on this (or another) policy. We will provide quotes prior to changing your policy. You may also call VBAI at 844-370-9218.

Name and Title

Date

Firm Name

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Professional Liability & Business Coverage
804-377-1012 or 1-844-370-9218

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