• Auto Insurance
• Home Insurance
• Business Insurance
• Boat Insurance
• Condo Insurance
• Critical Illness Insurance
• Disability Insurance
• Farm Insurance
• Key Person Insurance
• Mortgage Insurance
• Motorcycle Insurance
• Renewal Call-back
• RV Insurance
• Tenants Insurance
• Term Life Insurance
• Travel Trailer Insurance
• Travel Insurance
• Trucking Insurance

These premiums are estimates and are provided solely for the means of comparison. Actual premiums may be higher or lower than the estimated amounts. Automobile Insurance in Ontario is not subject to tax. Quoted premiums do not include any administration service fees charged for monthly payments.

Name:
Address:
City:
Province:
Postal Code:	(X1Y 2Z3)
Phone Number:	(123-456-7890)
Fax Number:	(123-456-7890)
Email Address:	(xxx@yyyy.zzz)
Age of building:	Less than 1 year 1 to 20 years 20 to 35 years More than 35 years
Construction of building:	Frame Masonry Non-Combustible Fire Resistive
Is the building sprinklered?	Yes    No
How much area do you occupy?	Less than 5,000 5,000 to 10,000 More than 10,000
Are you the only tenant?	Yes    No
Is there a hydrant within 500 ft. (150 metres)?	Yes    No
Is there a fire hall within 3 miles (5 kms)?	Yes    No
Has insurance ever been denied or cancelled?	Yes    No
What type of business?	Retail Office Building ownership Wholesale operation Farm Service Operation Contractor Garage operation Manufacturer Other
How many years in the business?	Less than 1 years 1 to 5 years More than 5 years
Have there been any insurance claims in the last 3 years?	No <= 2 >= 3
What are the annual receipts?	Up to $50,000 $51,000 to $100,000 $101,000 to $500,000 $501,000 to $1,000,000 Over $1,000,000
What is the annual payroll?	Up to $50,000 $51,000 to $100,000 $101,000 to $500,000 $501,000 to $1,000,000 Over $1,000,000