The information below is needed for a quick quote
C J & Associates Insurance Agency, Inc.
770-443-1978
Complete address of location to be insured_______________________
Name of business____________________
Building value (if you need to insure building) ______________ Sq Ft.____________
Contents value ______________
Construction type of Building _________________(brick, frame, metal)
Yr Built___________
Any losses in the last 5 yrs___________
If yes, what type and date of loss_____________________________
Any protection devices_________________________(fire, theft alarms)
What type of business__________________
Currently insured______ With______________
Your contact phone number or email_____________________
Name______________________
