Gas station/Convenience Store
Questionnaire for Quoting
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Email *
Your One Stop Shop for All Insurance Needs !!!!
Name of company & DBA   *
FEIN Number *
Business Address *
Owners First & Last Name  *
Phone Number *
Year Built *
Construction Type
Square Footage
#of Stories
Roof Type
Last Improvements to Roof *
Last Improvements to HVAC *
Last Improvements to Plumbing *
Last Improvements to Electrical *
Fire Alarm
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Burglar Alarm
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Sprinkler System
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GRILL /FRYER *
HOOD with fire suppression system *
Is there also Canopies that needs to be covered? Or Carwashes? Specify amount *
Business Personal Property Value ?
Gross Sales *
Grocery(food) sales *
Liquor ,Beer,Wine Sales *
Gasoline sales in Gallons per Year *
Number of Gas Pumps and Diesel Pumps ? *
Propane filling station or propane tank swap ? *
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