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IOA Quick Facts

  • Florida’s Largest Privately Owned Insurance Agency
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    On-Line Commercial General
    Liability Insurance Quote Form
    One Simple Form - takes only 2-3 Minutes!


    Your Personal Data

    Your Name:
    Business Name:
    Property Address:
    City:
    State: (Must be Florida)
    Zip/Postal:
    E-Mail (REQUIRED):
    Phone:
    Fax (optional):
     
    Underwriting Information
     
    Date Coverage Needed:
     
    Prior Carrier:
     
    Describe Business:
     
    Gross Annual Receipts: $
     
    Gross Annual Payroll: $
     
    Square Footage of
    Your Business Location:
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    Number of Employees:
     
    Tell us what kind of
    commercial coverage you
    are looking for, and why:
     
    Prior Claims? Yes No
    Describe claims in detail:
     

    Limits & Coverages:
    Liability Limits: $100,000    $300,000
    $500,000    $1 Million
     
    Business Contents Needed?
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    Comments/Remarks:
     
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    Florida Commercial Insurance (An Affiliate of Insurance Office of America)
    4915 West Cypress Street | Tampa, FL 33607 | Phone: 813-262-2303 | Fax: 813-637-8484
    Email: bruce.johnson@ioausa.com | Florida Insurance License #: A132126