Property Liability Quote 
Commercial Property Insurance Quote

Contact Information
Name of Business:
Contact Name:
Premises Address:
City:
State: Zip:
Business Phone:
Fax Number:
Contact Email Address:
Years in Business:
Description of Operations
or SIC code(s):

Current Insurance Information
Current Insurance Carrier:
Premium: $ Expiration Date:
Annual Sales: $ Payroll: $ Business Income: $
Other Insurance Company Used Within Past 3 Years:
Policy #:
Losses past 3 years: Amount paid for each loss: $
Description of losses or loss runs:
Coverage's Desired
Liability Limit Desired: Deductible Desired:
Or choose other liability limit amount: $
Umbrella Amount Desired:
Building 1
Building Value: $ Contents Value: $
Total Building Area: Year Built:
Construction Type: Sprinklers:
Electrical Type: Amps:
Electrical Renovation Year:
Plumbing Renovation: Plumbing Renovation Year:
Heating Type: Heating Renovation Year:
Roofing Renovation: Roof Age (years):
Central Alarm:

List Neighboring Businesses:
To the right: Distance:
To the left: Distance:
To the rear: Distance:
Building 2
Building Value: $ Contents Value: $
Total Building Area: Year Built:
Construction Type: Sprinklers:
Electrical Type: Amps:
Electrical Renovation Year:
Plumbing Renovation: Plumbing Renovation Year:
Heating Type: Heating Renovation Year:
Roofing Renovation: Roof Age (years):
Central Alarm:

List Neighboring Businesses:
To the right: Distance:
To the left: Distance:
To the rear: Distance:
Additional Comments
Please give any additional comments or questions

No coverage of any kind is bound or implied by submitting information via this online form

  • Information from you and other sources, such as your driving, claims and insurance histories, may be used to calculate an accurate price for your insurance.
  • We will not distribute information to other parties other than for insurance underwriting purposes.
  • By submitting this form, you agree to release us from any liability should this information be accidentally viewed by others.

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“We have been working with Winooski Insurance for over 10 years. Joe keeps us abreast of any and all new regulations that might have an impact on our industry or business. Because of this we have enjoyed nice dividend checks from our workers comp carrier. Contact Joe or one of his staff for any of your insurance needs.”

Mike Gervais
Prime Renovation Group, Dream Maker Bath & Kitchen of Vermont


“I use Winooski Insurance personally and also refer them to my clients. Their rates are very competitive and their staff is friendly and effi cient.”

Mark Chaffee
Mortgage Financial, Inc.


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