General Liability - Cennairus Insurance

Comprehensive General Liabilities Insurance

Complete the form below to get started with customized commercial solutions tailored to your needs

General Liability Insurance Form

Company Name

Address

Type of Business

State

City

Zip Code

Federal Tax ID Number

Website

Contact Person

Email

Phone

Description of Operations

Company Owner

Name

Title

Ownership %

Included or excluded

Owner 2

Name

Title

Ownership %

Included or excluded

Owner 3

Name

Title

Ownership %

Included or excluded

Company Information

Date Business Established

Full time Employees

Part time Employees

Subcontractors Used

Do you obtain certificates of insurance from all subcontractors

Have you had any losses in the last 3 years?

Upload the Loss Runs

Location Information

Owned or Leased

Square Footage of Location

Address

Insurance Information

Limit of Liability Requested

Annual Revenue