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2) ONE-STOP Shopping... We are Specialists at Insuring Ontario’s Unlucky Drivers – NO Driver Refused!

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4) Easy MONTHLY payment plans!

5) We do the shopping for you! Fully automated with latest technology GUARANTEES you always get instant rates from 7 different companies and ALWAYS get the best value for your insurance dollar!!

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9) 34 Years LOCALLY in Business with over 121 years of COMBINED Insurance experience on staff!

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General Liability Quote Form
One Simple Form - takes only 2-3 Minutes!

Your Name:
BUSINESS Name:
Mailing Address:
City:
Province:
Postal Code:
E-Mail (REQUIRED):
Phone:
Fax (optional):
 
Business Underwriting Information
Type of operation:
Describe operations in detail:
License class:
License Number:
 
Limit of Liability
Coverage Requested?
$300,000
$500,000
$1 Million
 
Currently Insured? Yes No
Name of Carrier & how long insured?
Prior Claims? Yes No
Describe claims in detail:
 
Years in business:
Years experience in field:
Percentage of work residential:
Percentage of work commercial:
 
Number of Active Owners:
Number of Employees: 0   1   2   3+
Annual Employee Payroll: $
Annual Gross Sales: $
 
Do you subcontract work? Yes No
(If yes, what percentage of your work
is subbed, and what kind of work?)
Do you do foundation work? Yes No
Do you work on condos? Yes No
Employees paid over $18/hour? Yes No
Do you have a safety program? Yes No

 
Comments/Remarks:
 
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Contact Us Today at:
McLean Insurance Protection Team, Inc.
58 Foster St., Perth, Ontario, K7H 1S1 (across from Scotiabank)
Toll Free: 1-800-267-7928 / Local Phone: 1-613-267-5100
Fax Number: 1-613-264-0663
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