Submission of quote request form to Hemphill Insurance Agency does not constitute a binding confirmation of new or revised insurance coverage. A business may be held liable for injuries or other losses suffered by a member of the general public as the result of the firm's or its employees' negligence or fault. A business may become legally liable i. Number Of Basement Levels. Select One 10, 5, 2, 1,
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Current Insurance Carriers Name: Normal number of hours per day your business operations.
Please send copy to: Regardless of who wins or loses a law suit, litigation is time consuming and expensive. A business may become legally liable i. A business may be held liable for injuries or other losses suffered by a member of the general public as the result of the firm's fillble its employees' negligence or fault.
What is the maximum amount of cash money left at any location overnight?
Please carefully read any carrier prepared proposal presented to you and where necessary request a copy of each insurance company policy form presented; so that you may compare any acofd in coverage offered.
Business OwnersPartners ,or Officers.
Does building have fire sprinklers? Other - Please specify or describe: A tenant is held responsible for a third-party injury occurring on the rented property, due to a clause he or she signed agreeing to such responsibility.
Improper installation of a product causes injury to a customer. Commercial General Insurance Application.
Coverage proposals presented to you by our Agency may differ; as each insurer represented may offer modified coverage by endorsement or have filed it's own unique policy forms with the Texas Department Of Insurance. Select One 10, 5, 2, 1, A firm that is found legally liable for fllable a third party must pay damages to compensate the injured party. A customer in a firm's building trips on a broken step.
Select One Not Desired 1, 2, Please fill out as much information as possible. Square Feet For Bldg or Office.
Number Of Basement Levels. Your daily paper will provide dozens fillbale other examples. This liability may be the result of. Violation of contract provisions a contract that makes one party responsible for certain kinds of losses.
Choices | Free ACORD Forms - Frequently Used
The Independent Insurance Agency. If you have any questions regarding this form please contact us.
General Liability Coverage Limits Requested: A court decision as in dillable lawsuit charging negligence. Number Of Basement Levels Does building have fire sprinklers? Does you business currently have Professional Liability Insurance Coverage? Select One Not Desired 10, 25, 50,,1, Submission of quote request form to Hemphill Insurance Agency does not constitute a binding confirmation of new or revised insurance coverage.
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Policy Number Expiration Date: Every business also faces exposure to liability losses. Select One Yes No. No matter how adord or unfounded the suit may be, productive business hours are lost, lawyers must be retained and paid and other related costs must be met while the suit is being contested.