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T H E P R E M I E R S O U R C E O F C O M M E R C I A L I N S U R A N C E S E R V I C E S
Members Edge Insurance Services
1101 Investment Blvd. Suite 110 El Dorado Hills, CA 95762 Phone: 800-536-5832 Fax: 916-673-1234 License #0B95252
Commercial General Liability

General Liability insurance protects an insured from a wide variety of exposures.  It usually covers an insured's legal liability arising out of injuries or damage suffered by members of the public, customers, tenants, and others. Endorsements can be used to shape the coverage for each individual situation.

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Let Members Edge help your business find the best insurance market for the best price. For a quote, fill out and email the following form or call: 800-536-5832 to talk to one of our agents. To download a printable PDF version of this form click here and fax to 916-673-1234.

Owner's Name:

Business Name:

Street Address:

City, State, Zip:

Phone Number:

Cell Phone Number:

Fax Number:

Contractor's License Type:

Estimated Annual
Gross Receipts:

Estimated Annual
Field Payroll:

Number of Employees:

Full Time

Part Time

Estimated Annual
Sub-out Cost:

Liability Limit
(check one):

$300,000

$500,000

$1,000,000

Current Policy
Expiration Date:

Number of Years
in Business:

Any Claims
in the 3 years:

Yes

No

Current Insurance
Carrier:

Current Policy Cost:

Describe the Type
of Work You Do:

Do You Need Business Auto Coverage?

Yes

No

Tool Coverage?

Yes

No

For more information on Members Edge insurance products
Please call Toll free: 800-536-5832
or contact us here.