Coworking organization
General Liability & Business Owners Policy (BOP) Quote Request Form

Toll Free Phone: 1-844-840-1400

For members of Coshare and others - Please complete and submit the following form to request general liability and business owners (BOP) insurance quotes.  Once submitted, a member of our Coworking insurance team will contact  you to discuss your specific needs and to provide a custom quote.

Primary contact name *
Primary contact name
Phone *
Phone
Business address or primary location *
Business address or primary location
Any other location(s) address (if applicable)
Any other location(s) address (if applicable)
Give as much detail as possible
Please be specific
Date business was established *
Date business was established
Are you currently insured *
Please estimate if necessary
$
$
Do you own more than 50% in any other business *
If yes, please describe the other business and if you have coverage for the other business below
If you answered yes above, please provide details here
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Do you work out of your home or an office *
If you work at an office, do you own your own building *
$
If the home or office is older than 25 years has the plumbing, HVAC and/or electrical been updated *
If yes, please provide when and what was updated below
Please provide details to the question above here
Does the building have a sprinkler *
Does the building have an alarm system *
Do you have sales through the internet with no customer contact (like ebay) *
$
Is the business personal property all in one place *
Any property of others that you want to insure *
Have you had any business losses in the past 5 years *
Does the insured have a commercial auto policy in-force *
This question pertains to commercial auto policies only (not personal auto insurance).
What is the maximum area of operation *
Does driving involve the following *
Please click all that apply
Please indicate the control measures in place *
Do the insured or insured's employees regularly use hired or rental vehicles in the course of conducting business *
Additional coverage and extensions *
Coverages to consider - some of these come automatically, but please indicate areas of concern or areas that you want additional coverage. Please click all that apply
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