Aligned Path Insurance Solutions

Business information

Business Name *

Entity Type

Key Contact *

Phone

Website

Mailing Address

Physical Address (if different)

Additional locations

Operational information

Describe the business operations

States of operation

Full-Time Employees

Part-Time Employees

Seasonal Employees

Years in Business

Years of Industry Experience

Owner duties

Other operations

Largest clients and duties

Annual Sales / Revenue

Annual Payroll

Number of Supervisors

Coverage requested

Coverage lines

GL Occurrence Limit

GL Aggregate Limit

Deductible Preference

Excess Limit Requested

Desired Effective Date

Current and prior insurance

Current Carrier

Policy Expiration

Years with Carrier

Prior coverage summary

Number of Claims

Claims Summary

Property and building information

Do you have tenants, improvements, and betterment?

Year Built

Recent Updates

Roof Type

Occupied Sq Footage

Total Square Footage

Contracts and controls

Written Contracts Used

Standard Customer Contracts

Hold Harmless / Indemnification

Subcontractors Used

Certificates of Insurance Collected

Additional Insured Controls

Alarm System

Trade Association

Formal Safety Program

Workers Comp Coverage in Force

Workers Comp Carrier

Auto exposure

Business Auto Policy in Force

Hired / Non-Owned Auto Needed

Employees Use Personal Vehicles

MVR / Driver Review Program

Security operations

Do any security, investigation, alarm, or patrol operations apply?

Additional context

Interested in Key Person / Business Life?

Anything else we should know?

Commercial Insurance Quote

Contact information