Association Insurance Programs

Artisans Insurance Quote Request

Thank you for completing the quote request form. We will be in contact with you as soon as possible.

Contact Name:
Business Name:
Address:
City:
State:
Zip Code:
Phone:
Email Address:
Website:
Tax ID:
Business Entity Type:
Does your business currently have insurance?
If yes name of carrier:
Types of current insurance coverage:
Years of industry experience:
Year business started:
Description of business operations:
Gross Annual Receipts:
Any Claims or Losses against the business in the last 5 years?
If Yes Please Describe:
Liability Limits desired:
Do you teach classes?
If yes how many students per year?
Square feet of shop or studio:
Do you lease or own the space your office is in?
If owned please list the replacement cost value:
Type of construction:
If other please describe:
Year built:
Alarm System:
Sprinkler System:
Smoke Detectors:
Value of your studio equipment:
Value of the stock / inventory:
Do you use tools away from your studio?
If yes what is the total value of your tools?
Do you ship items to your clients?
Average value shipped:
Do you have a booth at trade shows or exhibitions?
If yes average number of events per year:
If yes please list the average value of merchandise:
Do you have vehicles titled to or leased in the name of your company to be insured?
If yes list make model VIN # Deductible:
Workers Compensation:
Number of employees & total payroll:
Number of owners / officers & total payroll:

Comments:
Business Life Insurance?
Amount?
Cash Value / Asset Value?
Do not enter anything in this field: