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General Liability Insurance Quote Request

If you own or operate a small business or large business in metro Atlanta, Georgia, or anywhere within the states of: Alabama, Florida, Georgia, North Carolina, and Tennessee; InsureUSA can help provide your business with commercial general liability (GL) insurance coverage.

Business owners and operators, please take a moment to fill out the online General Liability Insurance Quote Request form below and one of our representatives will contact you with a free, no-obligation quote. This information will be kept confidential and will be used for general liability insurance quote purposes only.

InsureUSA is currently serving small business customers and large business customers throughout metro Atlanta, Georgia and in the states of Georgia, Alabama, Florida, North Carolina and Tennessee. If your business is not located in one these states, we will not be able to provide you with commercial general liability insurance coverage, or provide you with commercial general liability insurance quotes.

* Required fields

General Information
Your Full Name: * *
Your Company: * *
Address: * *
City: * *
Federal Tax ID Number:
Entity Type:
Business Phone: * *  Fax Number: 
E-mail Address: * *Invalid format.
Your Business Website Address:

Current Insurance Information
Company Name:
(not agency)
Policy Expiration Date:  
Premium Amount: $
Years Insured:

About Your Business
Business Owner:
Subcontractors Used: Yes
No 		Annual Cost of
Subcontractors: $
Number of Employees: Years in Business:
Number of Locations:
Square Footage Your Firm Occupies:
Annual Sales:
$    
Detailed Description of your Business:

Payroll Information
Annual Payroll: $   
Class Codes
(if known)		 Employee Duties Annual Payroll $ Hourly Wage $
Please give a brief description of your business:

Claims
Any claims in last 3 years?   If Yes, please describe.

Additional Comments or Questions


Please click the "Submit Quote Request" button to send your quote request. No coverage is in effect until bound by an insurance carrier. This is a request for quotation only.

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