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13719 N. Nebraska Ave Suite 103 Tampa, FL 33613
info@jecainsurancefl.com
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Jeca Resources & Services
Business Insurance Quote
Business Insurance Quote
Additional Information
Business Name
Years in Business
Legal Entity
Sole Proprietorship
Partnership
LLC
S Corporation
C Corporation
Other
Part-time Employees
0
1
2-3
4-5
6-10
11-20
20+
Partners/Owners
1
2
3-5
6-10
11+
Sub-Contractors
None
1-2
3-4
5-10
10+
Full-Time Employees
0
1
2-3
4-5
6-10
11-20
21+
Is this a one-time event or seasonal business?
No
One Time Event
Seasonal Business
Will this replace an existing business policy?
No
Yes
Annual Revenue business policy?
Under $100,000
$100,000 - $500,000
$500,000 - $1,000,000
$1,000,000 - $5,000,000
$5,000,000 - $10,000,000
$10,000,000+
Please describe the specific nature of your business
When would you like this policy to start?
First Name
Last Name
Email
Phone Number
Additional Comments?
What type(s) of business insurance are you interested in?
Property/Casualty Insurance
General Liability
Commercial Auto
Commercial Property
Cyber-Liability
Professional Liability
Directors and Officers Liability
Business Owners Package (BOP)
Workers Compensation
Commercial Crime
Employee Benefits
Group Health Insurance
Group Life Insurance
Group Disability Insurance
401K / Retirement Plans
Supplemental Plans / AFLAC
Key Man Life Insurance
Key Man Disability Insurance
Deferred Compensation
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