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*indicates required fields *Retail Business (Must specify) Accounting Machine Stores Aquarium Supply Stores Art Supply Stores Audio Visual Equipment Store Auto Parts & Accessories Stores Bakeries Bath Shops Beauty Supply Stores Bedding Stores Beverage Stores (non-alcholic) Bicycle Shops Book & Magazine Stores Bridal Clothing Stores Business Machines Supply Stores Butcher Shops Butter,Cheese,Milk & Egg Stores (not stands) Cake Decorating Supplies Camera & Photographic Supply Stores Candle Stores Candy,Nut & Confectionary Stores Carpet Stores Ceramics & Pottery (no firing) Children's Clothing Stores Chinaware & Glassware Cigar,Cigarette & Tobacco Stores Clock Stores Cloth Goods & Yarn Stores Clothing Stores, Mens' & Boys' Clothing Stores, Ladies' & Girls' Coffee, Tea & Spice Stores Copying & Duplicating Supply Stores Corsets & Girdles Stores Cosmetics,Toiletries & Perfumes Craft Stores Dairy Product Stores Delicatessens (no cooking) Drapery Stores Dressmaking (custom work) Drugstores (medical supplies only) Drugstores (all other types) Electrical Fixture & Supply Store Fabric Stores Fish Market Stores Fishing Tackle Stores Florists Franchise - Go Back & Click on Franchise Button Fruit & Vegetable Stores (not open stands) Furniture Stores Gift Stores Grocery Stores Handbag & Glove Stores (ladies) Hardware Stores (no power tool rental) Health Food Stores Hearing Aid Sales & Service Hobby Supply Stores Hosiery Stores Household Appliance Stores Ice Cream & Yogurt Stores Kitchenware & Cutlery Lamps, Lampshade & Light-Fixture Stores Lawn & Garden Supply Stores (no power tool rental) Leather Goods Stores Lingerie Shops Maternity Shops Meat,Fish & Poultry Stores Music,Tape & Record Stores (no video stores) Newspaper Stands (not sidewalk) Office Furniture Stores Office Machine Stores Optical Goods Stores Organ & Piano Stores Paint,Glass & Wallpaper Stores Party Supplies (no renting or catering) Patio Furniture Pet Stores Pharmacies Picture Frames Picture/Poster Stores Plant Shops Plumbing Fixtures & Supply Pottery Equipment & Supply Stores Radio Stores Religious Goods School Supply Stores Sewing Machine Stores Shoe Stores Slipper,Rubbers & Boot Stores Sporting Goods Stores Stationary Stores Stereos,Record Players & Tape Recording Sunglasses Stores Syrups,Molasses,Preserves Stores (no open air stands) Telephone Store Television & Radio Stores Tile Stores Tobacco Stores Toy & Game Stores Trophy Stores Tropical Fish & Supply Stores T-Shirt Shops (no silk screening done) Typewriter Stores Vacuum Cleaner Sales & Service Stores Variety Stores Not Listed Above - Call us. *Contact Name *E-mail *Company *Address *City County State *Zip Code Home Phone Work Phone FAX   Address City County State ZipCode   *Year Built Construction Type Stucco/Masonry Frame (predominantly wood) Non-Combustible Building Type 1 to 4 Stories 5 Stories & over Basement Type None Unfinished Basement Partially Finished Basement Finished Basement Air Conditioning No Air Conditioning Window Air Conditioners Central Air Conditioning Parking Type Carports Garage or ground level parking under roof Underground parking Enclosed Parking Sq.Footage Building Sq.Footage Elevators Yes No Building Owner Occupied Yes No Loss of Income/Rents Yes No Building Sprinklered Yes No Enclosed Access? Yes No   *Building Coverage (if coverage not required, enter zero) *Contents Coverage (if coverage not required, enter zero) Liability Limits $100,000 $300,000 $500,000 $1,000,000 $2,000,000 Deductible Options $500 $1,000 $2,500 $5,000 $10,000 Property of Others Exterior Signs Employees at Location Full Time Part Time Employee Dishonesty None $5,000 $10,000 $20,000 $30,000 $40,000 $50,000 Spoilage None $2,500 $5,000 $7,500 $10,000 $20,000 $30,000 $40,000 $50,000 Earthquake Yes No Building Laws Yes No Water Damage Yes No Hired Auto Yes No Employer's Non-Owned Auto Yes No Heating & Air Conditioning Equipment Basic Broad Heating Boilers   *Current Insurance *Expiration Date   Have you had any losses within the last three years? If yes, please explain in remarks below:   How would you like to receive your free Retail Business quote? U.S.Postal E-mail Fax