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About Us
Leadership Team
Starke Mission and Core Values
Careers
Community Involvement
Testimonials
Commercial Solutions
Business Insurance
Employee Benefits
Surety
Risk Management
Personal Solutions
Home Insurance
Life insurance
Auto insurance
Industry Knowledge
Industries
Designations
Online Resources
News
Contact Us
Get A Quote | Personal Lines
File a Claim
Refer A Friend
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Company Name
*
Business Enitity
*
Please select
LLC
S-CORP
INC
PC
C-CORP
CORP
FEIN
*
Address
*
Mailing Address same as Location Address
*
Yes
No
First Name
*
Last Name
*
Email
*
Phone
*
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Business Classification
*
Year Business started
*
Effective Date
*
Number of Employees
*
Total Payroll
*
Annual Revenue
*
Number of years in management
*
Do you hold any prior policy?
*
Yes
No
Did this business have any claims or losses in the last 3 years?
*
Yes
No
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Does the insured own the building?
*
Yes
No
Is the insured the sole occupant of the building?
*
Yes
No
Building Sq. Footage
*
Number of Stories
*
Number of Units
*
Square Footage Insured Occupies
*
Is the building sprinklered?
*
Yes
No
Is the building roof flat?
*
Yes
No
Replacement Cost
*
Burglar Alarm Type
*
Fire Alarm Type
*
Year building was built
*
Business Personal Property
*
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General Liability Limits
*
Please select
0-$500,000
$500,000-1,000,000
$1,000,000-$2,000,000
$2,000,000-3,000,000
3,000,000-$5,000,000
$5,000,000-$10,000,000
$10,000,000+
Employment Practices Liability Coverage
*
Yes
No
Deductable Limits
*
Cyber Coverage
*
Yes
No
Hired & Non Owned Auto Coverage
*
Yes
No
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Additional Information
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