New Hampshire Business
Insurance Package Quote
Gorman Insurance and Risk
Management Services of
Somersworth, NH offers
affordable Commercial
Insurance coverage options and
experienced business insurance
services throughout New
Hampshire, southern Maine,
and Massachusetts.
Contact us about Group
Health Insurance toll free at
1-800-678-3431, as well as
Group Life and Group
Disability Insurance services
for your NH, ME, or MA
business.

In addition to New Hampshire
Business Insurance Package,
we also offer affordable Group
Life Insurance plan services.
We are your local southeastern New Hampshire, southern Maine
insurance agency, providing experienced business insurance services to
businesses located in the following cities and counties: Somersworth,
Durham, Portsmouth, Dover, Rochester, Rollinsford, Barrington, Madbury,
Lee, Strafford, Farmington, Milton, Barnstead, Nottingham, Northwood,
Raymond, Newmarket, Newfields, Stratham, Rye, Hampton, Epping,
Exeter, Salem, Danville, Deerfield, West Rye, Derry, Chichester, South
Barnstead, Gilmanton, New Durham, Wolfeboro, Alton, Laconia, Berlin,
Lebanon, East Candia, North Hampton, Hanover, Littleton, Plymouth,
Claremont, Newport, Keene, Hampton, Rye Beach, Strafford County,
Rockingham County, Hillsborough County, Merrimack County, and
Belknap County, NH. We also offer comprehensive business insurance
services throughout the state of New Hampshire, including the
Manchester, Nashua, and Concord area. Our service area in southern
Maine includes the following cities and counties: South Lebanon, Kittery,
Eliot, Berwick, Sanford, Blaisdell Corners, Springvale, Emery Mills, Wells
Beach, York Beach, Kittery Point, Kennebunk, Saco, Biddeford, Alfred,
Portland, Scarborough, Westbrook, Waterboro, Shapleigh, Newfield,
Buxton, Goodwins Mills, South Sanford, Cape Elizabeth, South Portland,
York County, and Cumberland County, ME.
Business Name:    
Premises Address:
City:
State:  (New Hampshire, Maine or Massachusetts)
Zip Code:
Contact Name:
Phone #:    Ext #:
Fax:    Years in Business:
Email Address: (Required) 
Description of Operations or SIC code:

Current Insurance Company: 
Policy Expiration Date:          (mm/dd/yyyy)

Please Quote: (check as many boxes as desired)
Complete Business Insurance Package
Owners Insurance

Property Information

Contents (including inventory): $
Square footage you occupy:
Building Limit (if you own the building) $

Type of Construction:

Electrical Type:             Electrical Renovation Year: 
Amps: 
Plumbing Renovation:     Plumbing Renovation Year:
Heating Type:               Heating Renovation Year:   
Roofing Renovation:       Roof Age (years):  
Sprinkler system in your building?
Burglar Alarm:        Central Station Alarm:

Total Annual Sales: $
Is your store located within 5 miles of any coastline?

Liability Information

Select all that apply to your business:
Operate or lease aircraft/watercraft     Work Underground
Work above 15 feet                           Require out of state travel
Use Subcontractors                            Delivery Service
Pre-employment physicals                   Offer safety incentive programs
Store, treat, dispose, or transport hazardour waste
Work on vessels, docks, or bridges over water
Other

General Aggregate Limit (other than products completed): 
Products/Completed Operations Aggregate Limit:             


         Workers Compensation Information
Class                         Code           Total Payroll
          $
          $
          $

Experience Mod (if any, per policy)
Federal Employer's ID #

Umbrella Insurance Amount Desired:

Additional Question or Comment:



Click on the "Submit Information" button below to send your
New Hampshire Business Owners Insurance packagerequest.**


**Information received from this Business Insurance Package request form sent to Gorman Insurance and Risk Management Services, will be for our use only and will not be sold, given to or distributed to any other parties. A quote will be based on the business insurance information provided and does not guarantee acceptance of the risk by us. The precise coverage afforded is subject to meeting underwriting guidelines, and the terms, conditions and exclusions of the policy as issued. By submitting this request you acknowledge that this is neither an offer to insure nor a guarantee of insurance. Completion of this form does not entitle your business to a NH, ME, or MA Business Insurance Policy. We are licensed in New Hampshire, Maine, Massachusetts, and will not provide quotes or information for other states.


New Hampshire Business Information:
We offer comprehensive Business Insurance
services throughout New Hampshire!
(also southern Maine & Massachusetts)
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Risk Management Services - All rights reserved
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Business Insurance
Package Quote
Business
Insurance Quotes
Gorman Insurance &
Risk Management Services
396 High Street
Somersworth, NH 03878
Strafford County, NH
(603) 692-3431
(603) 868-3598 - Durham
Toll Free: 1-800-678-3431
Fax: (603) 692-2660

Somersworth, New Hampshire Insurance Agency