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General Liability Insurance

Complete the form below and we will be in contact regarding your quote.

Contact Information

First Name*
Last Name*
Phone*
Business Email*
How did you hear about Ashlin Hadden?*
Business Information

Business Name*
This is the name that will appear on your policy documents. If you do not have a business name, please list your name.
Business Entity Type:*
- Individual/Sole Proprietor
- Partnership
- Limited Liab Corp
- Limited Liability Partnership (LLP)
- Corporation
- S-Corporation
- Joint Venture
- Trust
- Trustee
- Association
- Government Entity
- Other
Do you have a DBA?
Please list any other names you sell under on any other platforms.
(If none, leave blank)
Business Street Address*
Business Address City*
Business Address State*
Business Address Zip Code*
Is your mailing address the same as your business address?
- Yes
- No
Mailing Street Address
Mailing Address City
Mailing Address State
Mailing Address Zip Code
What Year Business Did Your Business Start?*
Are you operating your business out of your home?
- Yes
- No
Area Occupied
If you are a building owner, the area provided should represent the total square footage of the building. If you are a tenant, the area provided should represent the area associated only with their operation.
Do not use “0”. If you are not sure, use “1”.
Next Year Anticipated Annual Sales*
Operations Information

Company Description*
Do you have 50% or more Common Ownership in any other Business Entity?
- Yes
- No
Do you sell any of the following products?*
This is a critical market placement question. If none apply, select “None of the Below”.
- None of the Below
- Tobacco Products including E-Cigarettes, Vapors or Marijuana
- Knives
- Firearms or Ammunition
- Vintage items – Antiques or Restored Items
- Dietary Supplements over 25% of your Total Sales
- Adult Novelty Items
- Baby Products, Car Seats, Cribs or Furniture
- Medical Grade Accessories & Products (Medical Test Strips, Medical Devices, Handheld Massagers, Etc)
Do you sell Private Label Products?*
Do you put your Band Name on any Products?
- Yes
- No
Private Label Product Name
Private Label URL
Paste a link to your private label product.
Do you do any of the following?*
This is a critical market placement question. If none apply, select “none of the above”.
- Re-label
- Re-package
- Design or have products designed on your behalf
- Assemble
- Manufacture or have products manufactured on your behalf
- None of the above
Are you Directly Importing Products to yourself from China or Mexico? *
- Yes
- No
Describe Type of Products You Sell?*
Which Item(s) do you sell the most of?
What Platforms do you sell on:*
- Amazon
- Ebay
- NewEgg
- Shopify
- Jet
- Other
List other Platforms (If none, leave blank)
Do you have any international sales?*
- Yes
- No
Which Countries?
Any claims or losses or known circumstances that could cause a claim in the past 3 years?*
- Yes
- No
Describe Losses and/or Claims
Warehousing

Do you want coverage for products at a Warehouse, 3PL (3rd Party Logistics), or Home Warehouse?*
- Yes
- No
Do you have a Warehouse, a 3PL (3rd Party Logistics) Home Prep Center?*
- Warehouse
- 3PL
- Home Prep Center
- No
How much coverage for inventory and business property do you want at this Warehouse location?*
Please enter a number from 1 to 99999999.
How much coverage for inventory and business property do you want at this 3PL (3rd Party Logistics) location?*
How much coverage for inventory and business property do you want at this Home Prep Center location?*
Please enter a number from 1 to 99999999.
Warehouse Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
3PL Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Prep Center Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Does the Warehouse have a sprinkler system?*
- Full Sprinkler
- Partial Sprinkler
- NONE
Amazon Information

Please paste a link to your Amazon Store Front a. Add the verbiage for the Star – You can find this link in your seller central account profile page.*
If you do not have an Amazon link you may include your personal website address.
General Insurance Questions

Do you use your personal car to do business errands? (pick up product, move product from home to warehouse, more product from store to home, etc)*
(Pick up product, move product from home to wear house, move product from store to home etc)
- Yes
- No
Do you store any Customer Information on your Computer?
- Yes
- No
Do you want coverage for your business personal property (inventory) stored on your primary location?
- Yes
- No
How much Personal Property Coverage would you like?*
Please enter a number from 1 to 99999999.
Do you have Employees?

Do you have W-2 Employees?*
Number of Employees*
Total Annual Employee Payroll Amount*
Please enter a number from 1 to 99999999.
Would you like a Workers Compensation Quote?*
Employee Classification and Payroll
Warehouse Employees
Owner Class Code
Number of Owners*
Total Owner Annual Payroll*
Please enter a number from 1 to 99999999.
Class Code
Number of Employees*
Total Annual Payroll*
Please enter a number from 1 to 99999999.
Total Annual Payroll*
Please enter a number from 1 to 99999999.
Clerical / office/ sourcing agents Employees
Employee Class Code
Number of Employees*
Total Annual Emaployee Payroll*
Please enter a number from 1 to 99999999.
Outside Sales
Employee Class Code
Number of Employees*
Total Annual Employee Payroll*
Please enter a number from 1 to 99999999.
Phone
This field is for validation purposes and should be left unchanged.

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Quote

Contact Information

Business Information

Operations Information

Warehousing

Amazon Information

General Insurance Questions

Do you have Employees?

Employee Classification and Payroll

Warehouse Employees

Clerical / office/ sourcing agents Employees

Outside Sales