Auto Repair Garage Insurance – JJ Insurance Agency

On-Line Auto Repair Shop Garage Insurance Quote Form

Complete our short Minnesota auto repair garage insurance information form and we will be in touch soon.

Enter your full name:

Company name:

Street address:

City:

State:

Zip Code:

Email (required):

E-Mail again for accuracy:

Phone:

Fax (optional):

Currently Insured (if yes, list carrier, and # of years continuous. If no, type NONE):

Business Type: (sole proprietorship, corporation, LLC, etc.)

Current Premium (cost)

List Claims & Amounts Paid (If none, type NONE):

Need Building Coverage:

If yes, list amount:

Dealer Plates?

If Yes, how many?

Transportation Plates?

If Yes, how many?

Years In Business:

Commercial Auto or Tow Truck Insurance needed & # of units:

Underwriting Information

Describe IN DETAIL, Your Business Operations:

Ownership & Employee Data:

List Owners, and % of ownership:

Number of Employees:

Location & Sales Information:

Insert Annual Gross Revenues from this operation here:

Square Footage of office or business location:

Type of Building (wood frame, concrete, etc.):

Number of Stories:

Are there other business/residences in this building (describe)?

Describe safety features (alarm, sprinklers, fire protection, etc):

Coverage Information

Limits of Liability Coverage I am Interested In:

Limit of business property needed (contents & tools):

Limit of Garagekeepers Coverage Needed: (Total amount of vehicle left in your possession.)

Comments or Remarks:

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Thank you for filling out this form COMPLETELY!
We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release them from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Yes, I Agree. Please Send Me a Quote NOW!