Welcome to Holman Insurance Brokers on-line Business Interruption Insurance quick quote page. Please ensure you complete the form as accurately as possible in order to ensure the best possible estimate. If you would rather speak to one of our sales representatives, please call us at (905) 886-5630 or 1-800-567-1279.

Completion of this form is for informational purposes only, and is just an estimate.
This WILL NOT result in a new policy, or change to an existing policy.

* Required Fields

Contact Information
Company Name*
Contact First Name*
Address*
Contact Last Name*
City*
Phone*
Province*
Phone 2
Postal Code*
Fax
Web Site
E-Mail*
Please specify your preferred method of contact:
Phone Email
Insurance Information
Are you presently insured? If yes, what company?* (enter "none" if answer is no)
Policy Number* (enter "none" if you do not have a policy number)
Expiry Date
What is your current annual premium?
$
Why are you looking for a new insurer or broker?
Company Information
Estimate as closely as possible the total amount in each of the following areas:
Actual Loss Sustained
$
Profits
$
Gross Earnings
$
Ordinary Payroll
$
Extra Expense
$
Rental Income
$
Professional/Auditor Fees
$
Other
$
Who is your current insurance provider?* (enter "none" if are are not insured)
What is your current policy number?* (enter "none" if you do not have a policy number)
What is your current annual premium?
$
Why are you looking for a new insurer or broker?
Additional Comments (Provide details of business interruption)



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Thank you for trusting Holman Insurance Brokers Ltd. for your insurance needs, one of our representatives will contact you soon with your quote!
Business Interruption Quote