Welcome to Holman Insurance Brokers on-line Video & Camera 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
Years in Business
# of Employees
Annual Sales
$
# of Certified Professionals
Please describe the major business activities of the organization:
Equipment Information
Please send a detailed including all serial numbers, purchase dates, purchase prices, and replacement costs (including applicable taxes).
Item
Limit Required
Item
Limit Required
Large Cameras
$
Sound Equipment
$
Small Cameras
$
Electronic Equipment
$
Cameras Rented from Others
$
Miscellaneous Equipment
$
Cameras Rented to Others
$
Other
$
Other Coverage Information
Item
Limit Required
Item
Limit Required
Office/Studio Contents
$
Tenant Legal Liability
Extra Expenses
$
Negatives & Film
$
Faulty Stock
$
   
General Liability
Coverage is required:
Canada/USA   Worldwide
Liability Limit Required
Non owned auto required Yes No
Claims Information (State all losses in the past 5 years)



Additional Comments



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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!
Video & Camera Quote