Commercial Building / Lessors Risk Only Quote


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Personal Information
First Name
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Last Name
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Street
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City
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State
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ZIP / Postal Code
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Primary Phone Number
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E-Mail Address
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Additional Information
Entity (Sole Proprietorship, Corporation, LLC, Partnership)
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Premises Location
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Number of Buildings
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Estimated Cost of Building Replacement
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Deductible Amount
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Construction Type
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Type of Building (Check all that apply)
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Square Footage of Location
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Interior Fire Sprinklers?
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Year Built
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Number Of Tenants?
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Any Restaurant Tenants?
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Year Building was Purchased?
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Earthquake Coverage?
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Current Insurance Provider
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Current Policy End Date
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.


Elias Insurance Services - www.SaveOnMyPolicy.com


"Servicing ALL California, Nevada, and Ohio!"
131 N. Raymond Ave., Fullerton, CA  92831
(714) 773-4000 Fax (714) 773-4149
License # 0E30164