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Address: 1625 S 6th St
Springfield, IL 62703
Call/text: 217-441-BFIA (2342)
Email: info@bfi.us

FAQ
About
Home & Auto
Commercial Insurance
Life Insurance
Service Center
Contact

Commercial Lines Quote Form

If you do not have the answer, feel free to skip the question.

Commercial Lines Quote Form

Step 1 of 5

20%

Insured's Name
First Last
Business Name
Mailing Address
Street Address Address Line 2 City State ZIP Code

Business Location
Street Address Address Line 2 City State ZIP Code
Email
Phone
FEIN#

Type of Insurance needed: General Liability, Property, BOP (GL & BPP: Bis Pers Prop), Commercial Auto, Work Comp, Umbrella, Inland Marine.
Type of Business (Corp, Sole Prop, LLC). If Partnership, list partners name & address:
Please include a detailed description of operations*
Annual Gross Revenue
Name Of Business Owner
Number Of Full & Part Time Employees
Year Business Was Established
Years of Experience in Field
Please list current or previous carrier & amount of years covered.
Please list loses in the last 5 years.
Amount of Business Equipment Owned (Tools, Furniture, Equipment, Electronics)
Applicable for BUSINESS PERSONAL PROPERTY / INLAND MARINE

Commercial Auto Quote
Name, Date of Birth, and Drivers License # of all company Drivers
Applicable for COMMERCIAL AUTO
Year, Make, Vin of all company vehicles

Commercial Building
Building Owners please provide Year Built, Square Footage, and any updates done to property in the last 10 years
Applicable for BUILDING
Business Tenants “What is the square footage you are leasing for your business.
Work Comp
Please list number of employees, each employees role, full or part time, amount of annual payroll.
Applicable for WORKERS COMP
Please attache a copy of your current insurance!
Max. file size: 98 MB.
Please provide any information that was not asked that you feel that we should know!
Preferred Payment Method
Current Monthly Payment

Would You Like Us To Review Your Policies?

1Products

2Contact Info

3Location

4Documents

5Final Comments

Hello! What would you like a quote for?*
- Auto
- Home / Condo / Renters
- Business Owners Package
- Umbrella
- Rental Property
- Motorcycle
- Boat
- Life or Health
Check all that apply. You can tell us if there is something else you need a quote for in just a moment.

Primary Policyholder Name*
First Last
Mobile Phone*
Email*

What led you to request this quote?*
- Internet Search
- Facebook Search/Page
- Referral
Who referred you to us?*
If you have any other questions, comments or requests, please leave them here

Request Your Proposal Here

Are you ready to save time, aggravation, and money? The team at Bailey Family Insurance is here and ready to make the process as painless as possible. We look forward to meeting you!

Address: 1625 S. 6th St.
Springfield, IL 62703
call/text: 217-441-BFIA (2342)
Email: baileyfamilyinsurance@gmail.com

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