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Romy Nunez
Commercial Insurance Broker
Hablo Español
(240) 760-2674
Foresight Commercial Insurance Quotes
Foresight Insurance provides an easy way of finding competitive commercial insurance rates from various insurance companies. Simply fill out the quote form and our agents will be in touch with you.
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(240) 760-2674
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Business Owner Full Name (Nombre completo del propietario del negocio)
Business Owner Date of Birth (Fecha de nacimiento del propietario del negocio)
MM slash DD slash YYYY
Business Owner License Number (Número de licencia del propietario del negocio)
Business Owner License State (Estado de la licencia del propietario del negocio)
Business Name & Legal Entity:
Year Business was founded:
Employer Identification Number:
Business Physical Address:
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Contact Name & Title:
Phone Number:
SMS Consent
By submitting this form, you agree to receive text messages and calls, including those made using AI, regarding your inquiry and related services. Standard messaging and data rates may apply.
Email
Website:
Description of Operations:
Do you own or rent the business premises?
Building Information (Type unknown if not sure)
Square Footage of premise:
Year Built:
Construction type:
Roof Age:
Electric Age:
Plumbing Age:
HVAC Age:
Business personal property amount: (If you are a tenant include betterments & improvements) $
General Liability & Workers Compensation
Estimated Annual Gross Revenue:
Estimated Annual Payroll excluding owner(s):
List Owners Names & Annual payroll per owner:
Number of Employees
Eligibility Questions:
During the past three years has any company ever cancelled, declined, or refused to issue similar insurance to the application?
Yes
No
If yes, explain
Has the insured or applicant had prior coverage?
Yes
No
Has the insured or applicant had any prior claims or losses in the last 3 years?
Yes
No
If Yes, please provide loss information
Has the applicant filed for bankruptcy in the past 5 years?
Yes
No
Additional Comments
Upload Documents
Drop files here or
Select files
Max. file size: 59 MB.
Email
This field is for validation purposes and should be left unchanged.
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Customer Reviews
...they put their customers first, and they're incredibly nice people as well.
Andy B.
, Maryland
AA
At the same time he was very easy to work with, knowledgeable and professional!
Anya a.
, Rockville, MD
JF
The agent was very responsive.
Anonymous
, Mount Rainier, MD
MH
Good communication and prompt response to e-mails.
North Bethesda, MD
JC
What I liked the most was the fair price.
Jose C.
, MOUNT AIRY, MD
See All Reviews
Business Owner Full Name (Nombre completo del propietario del negocio)
Business Owner Date of Birth (Fecha de nacimiento del propietario del negocio)
MM slash DD slash YYYY
Business Owner License Number (Número de licencia del propietario del negocio)
Business Owner License State (Estado de la licencia del propietario del negocio)
Business Name & Legal Entity:
Year Business was founded:
Employer Identification Number:
Business Physical Address:
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Contact Name & Title:
Phone Number:
SMS Consent
By submitting this form, you agree to receive text messages and calls, including those made using AI, regarding your inquiry and related services. Standard messaging and data rates may apply.
Email
Website:
Description of Operations:
Do you own or rent the business premises?
Building Information (Type unknown if not sure)
Square Footage of premise:
Year Built:
Construction type:
Roof Age:
Electric Age:
Plumbing Age:
HVAC Age:
Business personal property amount: (If you are a tenant include betterments & improvements) $
General Liability & Workers Compensation
Estimated Annual Gross Revenue:
Estimated Annual Payroll excluding owner(s):
List Owners Names & Annual payroll per owner:
Number of Employees
Eligibility Questions:
During the past three years has any company ever cancelled, declined, or refused to issue similar insurance to the application?
Yes
No
If yes, explain
Has the insured or applicant had prior coverage?
Yes
No
Has the insured or applicant had any prior claims or losses in the last 3 years?
Yes
No
If Yes, please provide loss information
Has the applicant filed for bankruptcy in the past 5 years?
Yes
No
Additional Comments
Upload Documents
Drop files here or
Select files
Max. file size: 59 MB.
Email
This field is for validation purposes and should be left unchanged.
Δ