Applicant / Business Information

Core details required for all quote types

Primary Contact

(Person submitting this quote request)

First Name

Last Name

Day Phone

Business Details

Business Name

Legal Entity Type

Federal EIN / Tax ID

DBA / Trade Name (if different)

Years in Business (under current ownership)

Number of Employees

Annual Revenue

Years of Owner Experience in Industry

Business Address

City

State

Zip Code

Brief Description of the Business

What type of business are you in?

Search for your exact line of business (e.g. "flooring", "excavation", "HVAC", "restaurant", "daycare"). Powered by our full Minnesota + carrier classification list.

Can't find your exact business? Type a few keywords — our smart search will suggest the best matches from 600+ real insurance classes.

Can't find your business type? Just describe what you do in the "Brief Description of the Business" field below, or call us at (218) 326-4655. ·

Coverage Types Requested (select all that apply)

*Select at least one coverage type above to continue with detailed information.*

General Liability

Third-party claims for bodily injury & property damage

Business Owners Package (BOP)

GL + Property combined — best for small businesses

Commercial Auto

Vehicles used for business (liability + physical damage)

Workers' Compensation

Required in most states for employee injuries

Commercial Property

Building, contents, business income

Professional Liability (E&O)

Errors & omissions for professional services

Directors & Officers (D&O)

Management liability protection

Commercial Crime

Employee dishonesty, forgery, theft

Detailed Information by Coverage

Fill only the sections relevant to the coverages you selected above

Commercial Auto Details

Vehicle Schedule (Add all business vehicles)

Enter the VIN and click Decode to auto-fill Year, Make & Model.

VIN	Year	Make / Model	Type	Value ($)	Primary Use	Radius	Comp Deductible	Collision Deductible	Glass Coverage

Driver Schedule (All drivers of business vehicles)

Full Name	DOB	License # / State	Years CDL	% Use	Violations / Accidents (last 5 yrs)

Total Owned / Leased Vehicles

Any Hired or Non-Owned Autos?

Workers' Compensation Details

List the main types of work your employees do (for example: carpenters, warehouse staff, or salespeople). Include the number of full-time and part-time employees and their annual payroll for each group.

Payroll & Employee Schedule (e.g. carpenters, drivers, office staff)

Job / Role Description	# Full-Time	# Part-Time / Seasonal	Est. Annual Payroll ($)

States Where Employees Work

Minnesota

Any Subcontractors Used?

Prior Insurance & Loss / Claims History

Current / Prior Insurance (last 3 years)

Line

Carrier

Exp. Date

Current Primary Insurance Carrier

Any Claims or Losses in the Last 5 Years?

Upload Your Current Policy Declarations Page (Optional)

Uploading your current policy declarations page helps us review your existing coverages and limits so we can provide a more accurate quote. PDF is preferred.

Additional Information

Business Insurance Quote

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