Skip to main content
#
King And Companies
our twitterour facebook page linkdin youtube
home
contact us
site map
 
 
 
Home
Employee Group Benefits
Business Insurance
Individual Insurance
Apply Online
Resources
Healthcare Reform
Contact Us
 
 
 Business Owners Quote 
Form: Professional Liability Insurance Quote
Business Owners Insurance Quote




Contact Information
Name of Business:
Contact Name:
Address:
City:
State: Zip:
Business Phone:
Fax Number:
Contact Email Address:
Current Insurance Information
Current Insurance Carrier:
Premium: $ Expiration Date:
What type of coverages do you currently have:
Bond
Commercial Auto
Commercial Liability
Commercial Property
Commercial Umbrella
Directors & Officers Liability
Disability
Group Health
Group Life
Professional Liability
Workers' Compensation
Other
Your Business Information
# of full-time
employees
# of part-time
employees
How long
in business
How many
locations
Estimated Annual
Payroll
years
$
Please give a brief description of your business(below):
Please select the type of coverages you are interested in
Bond
Commercial Auto
Commercial Liability
Commercial Property
Commercial Umbrella
Directors & Officers Liability
Disability
Group Health
Group Life
Professional Liability
Workers' Compensation
Other
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.

    King and Companies
    150 E Travelers Trail, Suite C 
    Burnsville, MN 55337

    Toll Free: 877.374.5959

    Telephone: 952.746.5959

    Fax: 952-487-0468

    © King and Companies, 2012 Powered By: Insurance Web Designs   webmail login