12/01/2008 07:01:29 PM


5 Shawsheen Avenue - Bedford, Massachusetts- 01730 - Toll Free (888) 285-4422 - Fax (781) 275-8109
Automobile Insurance
We offer both Commercial and Personal Auto Insurance.
Business Insurance
Insurance Programs for businesses of all sizes.
Personal Lines
Home, Life, Watercraft, Renters, Insurance and more.....

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Contact Us
For information about Quinn Insurance please contact:
Matthew Quinn
Customer Service
Request Auto Policy Change
Report Auto Loss
Request Certificate of Insurance
Report Property Loss
Get Directions to Quinn Insurance Agency
Request a Quote
Mass Auto Insurance Quote
Homeowners Insurance Quote
Business / Contractors Insurance Quote
Renters Insurance Quote
Motorcycle Insurance Quote
Watercraft Insurance Quote
Mass Registry of Motor Vehicles
Renew Drivers License
Renew Registration
Change your Address
Order Special Plates
Pay a Citation / Ticket
Request Duplicate Registration
Replace Your Drivers License
Replace Your Massachusetts ID
Visit the Mass RMV Website
Request Business Insurance Quotation
Request Business Insurance Quote

No coverage is bound until you are contacted by one of our representatives

Business Insurance Quote

 Name  
 Business Name  
 Street Address  
 Street Address  
 City, State, Zip  
 Phone Numbers   Home   Work 
 Email Address  
 Business Activities
 1. Type of organization  
 2. How many owners, partners, or officers?  
 3. How many employees, excluding owners,
     partners or officers?		  
 4. How many years have you been in business?  
 5. Last year's payroll:  
 6. This year's projected payroll:  
 7. Last year's gross sales:  
 8. This year's projected sales:  
 8. Describe your normal business activities

   
 9. Have you had losses or claims in the past 5
     years?		  
     If yes, please give description, date and amount paid for each

   
 Coverage Selection
 Please indicate the desired coverage you would like quoted.
  General Liability   Crime
  Property   Workers Comp
  Equipment   Boiler & Machinery
  Builder's Risk   Garage and Dealers
 Remarks
 

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