Welcome to Holman Insurance Brokers on-line Commercial Property 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*
Contact Last Name*
Address*
City*
Province*
Postal Code*
Phone*
Phone 2
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
Years in Business
Type of business
Describe the major business activities of the organization
What is your current annual premium?
$
Why are you looking for a new insurer or broker?
Construction
Wall Type
Age of Building
Floor Type
Year Roof Updated
Wiring Type
Year Wiring Updated
Heating Type
Year Plumbing Updated
Plumbing Type
Year Heating Updated
Roof Type
Basement Finished
Yes No
Number of Storeys
Air Conditioning
Yes No
Total Square Feet
If yes, state Type
If building is over 50 years, has it been completely renovated in the past 30 years?
Yes No
Protection (Please fill in all applicable fields)
Fire Alarm System
Fire Alarm Monitoring
Burglary Alarm System
Burglar Alarm Monitoring
CO2 System
Contacts on Windows
# of Smoke Detectors
% Sprinklered
Distance to Hydrant
Distance to Fire Hall
Safe
Name of Alarm Company
Exposures
% Occupied by Insured
Other Occupancies
Manufacturing Exposures
Other Outside Exposures
Give Details
Coverages - Property
Property
B/F or N/P
ACV or R/C
Deductible ($)
Limit ($)
Building
Contents
Stock
Equipment
Offices Contents
Options:
Flood
Sewer Back-up
 
Earthquake
By-Laws-Blanket
Same Site Clause Deletion (If RC selected)
Yes No
Coverages - Inland Marine
Property
Limit ($)
Property
Limit ($)
Professional/Auditors Fees
Contractors Equipment
Accounts Receivable
Tool Floater
Valuable Papers
Installation Floater
Electronic Data Processing - Software
Transportation Floater
Electronic Data Processing - Hardware
Glass
Electronic Data Processing - Extra Expense
Exterior Sign / Antenna's / Satelite Dishes
Unnamed Locations
Deductible for this Section
Coverages - Crime
Property
Limit ($)
Property
Limit ($)
Dishonesty Form (A)
Depositors Forgery
Dishonesty Form (B)
Safe Burglary
Broad Form Money and Securities
Medical Expenses
Inside/Outside Robbery
Deductible for this Section
Coverages - Boiler & Machinery
Property
Limit ($)
Property
Limit ($)
Direct Damage
Hazardous Substance Clean-up
Production Machinery
Actual Loss Sustained
Air Conditioning
Profits
Electronic Equipment
Gross Earnings
Consequential Loss
Extra Expense
Ammonia Contamination
Rental Income
Expediting Expenses
Professional Fees/Auditors Fees
Deductible for this Section
Claims History
Claim
Date of Claim
Claim Payout
Details of Claim
1
2
3
Additional Comments



Please take a moment to tell us how you heard about us:
Thank You

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