Church Insurance Quote

Church Location

Name *

Address *

City *

State *

Zip Code *

Is your Mailing Address different from your Location Address? *

Church Mailing Address *

Church City *

Church State *

Church Zip Code *

Church Phone Number *

Church Email Address *

Church Web Site

Church Representative

Representative's Name *

Representative's Address *

Representative's City *

Representative's State *

Representative's Phone Number *

Representative's Email Address *

More Church Info

Church Federal Tax Id Number *

Month and Year Church Founded *

Average Weekly Attendance *

Number of Employees *

Name of Current Insurance Company *

Current Policy Number *

Expiration Date of Current Policy *

Property Info

What deductible do you want? *

How many feet from the nearest Fire Station? *

How many miles from the nearest Fire Station? *

More Building Info

If the building is alarmed, is it centrally monitored? *

Monitoring Company Name *

Monitoring Company Phone *

When were your fire extinguishers last serviced? *

Are your buildings locked when not in use? *

Do you have a mortgage? *

Name of Lender *

Lender Address *

Lender City *

Lender State *

Loan Number *

Types of Property Coverage Desired or Interested In *

Theft by Unknown Persons Option Theft by Employees or Members Inland Marine (property that is often moved)

Does the church own property at any other location? If so, where? *

Liability Info

General Liability Limits Needed *

Does the church use or sell Fireworks? *

Does the church have security personnel either on staff or contracted? *

Do you rent from another organization? *

Does that organization need to be listed on your policy as an additional named insured? *

Organization Name *

Organization Address *

Organization City *

Organization State *

Relationship to Organization *

Are you interested in any of these extra coverages? *

Non-owned and Hired Auto (when employees use their own car on church business)
Directors & Officers (protects the church leadership if sued individually for a church accident)
Employee Practices Liability (covers discrimination in the hiring, firing, and promotion process)
Sexual Misconduct
Counseling Coverage
Workers Compensation Insurance
Vehicle Insurance (For church owned vehicles)
Umbrella Insurance (increase the liability coverage limits)

Additional Info

Has the church ever filed for bankruptcy? *

When? *

How often do you pay your insurance Premium? *

Building 1

Year Built *

How many floors does the building have? *

Sq ft Floor One *

Sq ft Floor Two *

Sq ft Floor Three *

Sq ft Floor Four *

Type of Roof *

Age of Roof *

Type of Electrical Panel *

Building Coverage *

Contents Coverage *

Type of Heating System *

Type of Cooling System *

Type of Construction *

Type of Foundation *

Fire Sprinklers *