Skip to content Accessibility info

Reviews
Blog
Staff Directory
Members Insurance Center on Facebook | Members Insurance Center on LinkedIn

Free Insurance Quotes

Claims & Service

COMMERCIAL LIABILITY INSURANCE QUOTE

Complete the form below to start your quote.

Looking for a quote right this minute?
Get an instant commercial general liability insurance quote from NEXT Insurance.

Contact Information

Name ✶

Phone ✶

Email ✶

Title ✶

Date of birth ✶

Co-Owner

Name

Relationship

Date of birth

Business Information

Business Name ✶

Years in Business ✶

Legal Entity ✶

Annual revenue ✶

Location

Street address ✶

City ✶

State ✶

ZIP ✶

Employees

# Owners/Partners ✶

# Full-time Employees ✶

# Part-time Employees ✶

# Sub-contractors ✶

Estimated annual payroll ✶

$

Description of operations ✶

Insurance History

Claims History

Any claims in the past 5 years?

Yes

No

Claim Documentation

Please attach loss runs from the current insurance company for the last 5 years. You can also email them to email them to membersinsurancecentercommercial [at] floridamic [dot] org.

Any of the following in the last 10 years ✶

Bankruptcy

Repossession

Felony Conviction

None of the above

Current Insurance

Currently insured?

Yes

No

Current Insurance Policy

Insurance company

Policy expiration

Coverage amount

$

Current Policy

You can also email your policy to mail your current policy to us at miccommercial [at] floridamic [dot] org

Desired Insurance Coverage

Limits of Liability Desired

Desired insurance coverage

General Liability

Business Auto

Commercial Property

Professional Liability (E&O)

Directors & Officers (E&O)

Business owners package policy (BOP)

Workers Compensation

Equipment/ Inland Marine

Cyber Insurance

Additional lines of business

Buildings

Time Element / Loss of Income / Extra Expenses

Umbrella / Excess Liability / Higher Limits

Employment Practices Liabilities

Crime

Personal Lines/Residential

Performance / Payment / Other Bonding Needs

Garage Policy (Dealer & Non-Dealer)

Comments or questions

I understand that coverage cannot be bound or altered until the information has been confirmed by one of our representatives by phone or email. ✶

Subject

Please leave this field blank. This field is here to help us protect against automated submissions. If you put something into this field, your entire submission will be ignored.

Secure form

We respect your privacy. Your info will be sent securely and handled with care. View privacy policy.

© 2026 Members Insurance Center | About | Contact | Sitemap

Licensed in Florida (L004442)

6810 E Hillsborough Ave
Tampa, FL 33610

Members Insurance Center on Facebook | Members Insurance Center on LinkedIn

Privacy Policy | Powered by Webtricity