Fill out the quote form as best as you can- if you are not sure of something just leave it blank. I will get to work on getting prices from the acceptable markets.

Company name (as shown on policy)	*
Email Address	*
Is this a new business venture?		Yes No
Address (max in 250 characters )	*
Telephone Number	*
Company Name	*
Company URL (eg: http://www.abc.com)
Person to contact
Federal ID# or Taxpayer ID#
Date business established
Business Form		Sole Proprietorship General Proprietorship Limited Proprietorship LLC Corporation
Proposed Effective Date
Current Coverage expires on
Applicant Classification		Security Guard Investigation Alarm Installation Consulting
Workers Compensation carrier
Are the majority of your clients under contracts?		Yes No
Do you subcontract work out?		Yes No
If so do you require certificates of Insurance for General Liability, Errors & Omissions Insurance		Yes No
What Professional organizations are you a memvber of?
Will the Principals/Owners perform Guard/Investigative Duties?		Yes No
Number of Supervisors
Describe duties of the Supervisors
What is the average number of guards per supervisor?
Training Program consist of:		Written Manual On the Job training CPR Powers of Arrest Report writing Fire arms Driver Training
Pre employment screening includes		Prior employment check Drug Screening Fingerprint Guard Card Driving record Criminal Background Psychological Test FBI check
Total Number of guard hours billed to clients ARMED
Total Number of guard hours billed to clients UNARMED
Do you use any equipment,vehicles, or golf carts for patrol		Yes No
If so what type and how many
Do you transport the public?		Yes No
Do you check drivers records annually?		Yes No
Do you use dogs?		Yes No
How many?
Do dogs have specific handlers		Yes No
Are all employees licensed by the state to carry weapons?		Yes No
Do you work bars, or other establishments serving liquor?		Yes No
What type and how many guards are involved in thes type of work? Armed
Do you require your staff to report all unusual incidents? And are all reports reviewed by management?
Any private investigations?		Child Custody Credit Criminal Drug testing Electronic Sureveillance Forensic accounting Genealogical Insurance Kidnap and ransom Matrimonial domestic Polygraph testing Process server PSE Repossessions Shopping service Skip tracing Undercover Other
Total estimated receipts for the upcoming policy year