Commercial Insurance Quotes in Oklahoma | Oklahoma Insurance Group

Service: Commercial Short Form

"*" indicates required fields

Your Name*

Email*

Cell Phone*

Type of Risk

What is your Other Type of Risk?

This field is hidden when viewing the form

Type Of Construction

Frame

Steel

This field is hidden when viewing the form

Type Of Exterior Construction

Brick

Wood

Vinyl

This field is hidden when viewing the form

Estimated Cost Of Materials If Remodel/Renovation

This field is hidden when viewing the form

Describe In Detail Renovation/Remodel Work To Be Done

This field is hidden when viewing the form

What Is The Value Of The Property Before Renovation/Remodel?

This field is hidden when viewing the form

What Type Of Roofing Material Is Going To Be Used?

This field is hidden when viewing the form

Estimated Sq Ft When Completed

This field is hidden when viewing the form

Name Of Home Builder And Contact Number If Possible

This field is hidden when viewing the form

Approximate Cost Of The Build Upon Completion

Name of Business*

Business Legal Structure

FEIN

Year Business Started

Years Experience

Business Address Info

My home, business and mailing addresses are all the same.

My business address is also my mailing address.

My business address and mailing address are different.

Home Address

Street City State ZIP Code

Business Address

Street City State ZIP Code

Mailing Address

Street City State ZIP Code

What Insurance Company Are You With Now (If New Business just put New Below)

Current Annual or Monthly Cost (Put $0 If New)

I’d Like To Start This On:

Tell Us About Your Business and What All You Do

What Is The Biggest Issue You Are Facing?

Have You Submitted This Quote To Any Other Agents?

Yes

Please attach current insurance info (declaration pages, policy, certs and any other info we can use to help you)

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 98 MB.

This field is hidden when viewing the form

Tell Us What Coverage Do You Need*

General Liability Only

General Liability w/tools (Most companies can do a nice tool rider for 20-30 per month)

General Liability plus building and tools (You own your building and need coverage for it plus tools)

Work Comp (Owner only or for Employees)

Commercial Auto (Auto and Trailers)

Equipment Schedule (Coverage for dozers, skid steers, scaffolding and other heavy equipment)

Bonds (We can do them all)

This field is hidden when viewing the form

Total Annual Sales

This field is hidden when viewing the form

Number of Employees

This field is hidden when viewing the form

Total Employee Payroll (Annual)

This field is hidden when viewing the form

Has your commercial insurance ever been canceled or non-renewed due to prior claims or the nature of your business operations?*

Yes

This field is hidden when viewing the form

Please explain*

This field is hidden when viewing the form

Do you use subcontractors on any of your projects?*

Yes

This field is hidden when viewing the form

Annual Cost of Subcontractors*

This field is hidden when viewing the form

Do you perform any exterior work above 3 stores in height?*

Yes

This field is hidden when viewing the form

Please explain*

This field is hidden when viewing the form

Include coverage for the building at this location and/or its contents*

Yes

This field is hidden when viewing the form

General Liability

This field is hidden when viewing the form

General Liability Coverage*

This field is hidden when viewing the form

General Liability and Tools

This field is hidden when viewing the form

General Liability Coverage*

This field is hidden when viewing the form

Do you have any tools you’d like to insure that are less than 1k per item?

Yes

This field is hidden when viewing the form

Total Value

This field is hidden when viewing the form

Do you have any equipment you’d like to insure?

Yes

This field is hidden when viewing the form

Total Value

This field is hidden when viewing the form

Would you like to cover any other business property?

Yes

This field is hidden when viewing the form

Please explain

This field is hidden when viewing the form

General Liability Plus Building And Tools

This field is hidden when viewing the form

General Liability Coverage*

This field is hidden when viewing the form

Do you have any tools you’d like to insure that are less than 1k per item?

Yes

This field is hidden when viewing the form

Total Value

This field is hidden when viewing the form

Do you have any equipment you’d like to insure?

Yes

This field is hidden when viewing the form

Total Value

This field is hidden when viewing the form

Would you like to cover any other business property?

Yes

This field is hidden when viewing the form

Please explain

This field is hidden when viewing the form

Building Limit: (Replacement Cost)*

This field is hidden when viewing the form

Business Personal Property Limit:*

This field is hidden when viewing the form

Deductible

This field is hidden when viewing the form

Construction Type

Frame

Joisted Masonry

Masonry Noncombustible

Noncombustible

Other

This field is hidden when viewing the form

Year Built*

This field is hidden when viewing the form

Number of Stories*

This field is hidden when viewing the form

Total Square Footage*

This field is hidden when viewing the form

Square Footage Occupied by Insured*

This field is hidden when viewing the form

Square footage for any unoccupied or vacant space

This field is hidden when viewing the form

Any renovation, construction or expansion, currently planned or ongoing*

Yes

This field is hidden when viewing the form

Distance to Fire Station

This field is hidden when viewing the form

Distance to Fire Hydrant

This field is hidden when viewing the form

Any Updates To Roof/HVAC/Plumbing or Electrical?

Yes

This field is hidden when viewing the form

Roof Update

This field is hidden when viewing the form

Wiring Update

This field is hidden when viewing the form

Plumbing Update

This field is hidden when viewing the form

Heat / Air Update

This field is hidden when viewing the form

Electrical Update

This field is hidden when viewing the form

Sprinkler System

Yes

This field is hidden when viewing the form

Fire Alarm System

Yes

This field is hidden when viewing the form

Burglar Alarm System

Yes

This field is hidden when viewing the form

Aluminum Wiring*

Yes

This field is hidden when viewing the form

Payroll at this location

This field is hidden when viewing the form

Sales at this location*

This field is hidden when viewing the form

Additional Interests

(Bank/Mortgage Co./Vendor)

Yes

This field is hidden when viewing the form

Bank Information

This field is hidden when viewing the form

Would you like to add another location?*

Yes

This field is hidden when viewing the form

2nd Property (Building Coverage)

This field is hidden when viewing the form

Physical Location - 2nd Property

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

This field is hidden when viewing the form

Building Limit: (Replacement Cost) - 2nd Property

This field is hidden when viewing the form

Business Personal Property Limit - 2nd Pproperty

(computers, furniture, tools & stock)

This field is hidden when viewing the form

Deductible - 2nd Property

This field is hidden when viewing the form

Construction Type - 2nd Property

Frame

Joisted Masonry

Masonry Noncombustible

Other

This field is hidden when viewing the form

Year Built - 2nd Property

This field is hidden when viewing the form

Number of Stories - 2nd Property

This field is hidden when viewing the form

Total Square Footage - 2nd Property

This field is hidden when viewing the form

Square Footage Occupied by Insured - 2nd Property

This field is hidden when viewing the form

Square Footage For Any Unoccupied or Vacant Space - 2nd Property

This field is hidden when viewing the form

Any renovation, construction or expansion, currently planned or ongoing - 2nd Property

Yes

This field is hidden when viewing the form

Distance to Fire Station - 2nd Property

This field is hidden when viewing the form

Distance to Fire Hydrant - 2nd Property

This field is hidden when viewing the form

Any Updates To Roof/HVAC/Plumbing or Electrical on 2nd Property?

Yes

This field is hidden when viewing the form

Roof Update - 2nd Property

This field is hidden when viewing the form

Wiring Update - 2nd Property

This field is hidden when viewing the form

Plumbing Update - 2nd Property

This field is hidden when viewing the form

Heat / Air Update - 2nd Property

This field is hidden when viewing the form

Electrical Update - 2nd Property

This field is hidden when viewing the form

Sprinkler System - 2nd Property

Yes

This field is hidden when viewing the form

Fire Alarm System - 2nd Property

Yes

This field is hidden when viewing the form

Burglar Alarm System - 2nd Property

Yes

This field is hidden when viewing the form

Aluminum Wiring - 2nd Property

Yes

This field is hidden when viewing the form

Payroll at this Location - 2nd Property

This field is hidden when viewing the form

Sales at this Location - 2nd Property

This field is hidden when viewing the form

Workers Comp

This field is hidden when viewing the form

Payroll Estimate

This field is hidden when viewing the form

Please List Payroll By Job Class

Job Type

Annual Payroll For All Workers In Class

Number Of Employees In Job Type

This field is hidden when viewing the form

Owner to be Included or Excluded

Included

Excluded

This field is hidden when viewing the form

Is this a temporary staffing or employee leasing entity?

Yes

This field is hidden when viewing the form

Do you have operations outside the state of Oklahoma?

Yes

This field is hidden when viewing the form

Audit Information - Contact Person

First Middle Last

This field is hidden when viewing the form

Contact Person Phone

This field is hidden when viewing the form

Contact Person Address

Street Address Address Line 2 City State ZIP Code

This field is hidden when viewing the form

Does applicant own, operate, or lease aircraft/watercraft?

Yes

This field is hidden when viewing the form

Do/Have past, present, or discontinued operations involve(d) storing, treating, discharging, applying, disposing or transporting of hazardous material? (e.g. landfills, wastes, fuel tanks, etc)

Yes

This field is hidden when viewing the form

Any work performed underground or above 15 feet?

Yes

This field is hidden when viewing the form

Any work performed on barges, vessels, docks, bridge over water?

Yes

This field is hidden when viewing the form

Is there any volunteer or donated labor?

Yes

This field is hidden when viewing the form

Any other insurance with this insurer?

Yes

This field is hidden when viewing the form

Do any employees perform work for other businesses or subsidiaries?

Yes

This field is hidden when viewing the form

Do you lease employees to or from other employers?

Yes

This field is hidden when viewing the form

Any tax liens or bankruptcy within the last 5 years?

Yes

This field is hidden when viewing the form

Any undisputed and unpaid workers' compensation premium due from you or any commonly managed or owned enterprises?

Yes

This field is hidden when viewing the form

Umbrella

This field is hidden when viewing the form

Umbrella Coverage Amount

This field is hidden when viewing the form

Bond

This field is hidden when viewing the form

Bond Amount

This field is hidden when viewing the form

Business Structure

This field is hidden when viewing the form

Secondary Name Type

This field is hidden when viewing the form

Obligee Name

The Obligee is where your bond is filed.

Oklahoma Construction Industries Board

Other

This field is hidden when viewing the form

Type of Licensee

This field is hidden when viewing the form

Property (Tools or Equipment)

This field is hidden when viewing the form

Office Contents Amount $

This field is hidden when viewing the form

Miscellaneous Tools Amount $

$1,500 in value and under

This field is hidden when viewing the form

Installation Floater Amount $

This field is hidden when viewing the form

Rented/Leased Equipment Amount $

This field is hidden when viewing the form

Scheduled Equipment Amount $

Total for everything over $1,500 in value

This field is hidden when viewing the form

Scheduled Equipment Details

(Include Year, Description, ID/Serial #, Manufacturer, Model and Amount of Insurance for Each Piece)

This field is hidden when viewing the form

Commercial Auto

This field is hidden when viewing the form

Is your garaging location different from the business location?

Yes

This field is hidden when viewing the form

Garaging Location

Street Address Address Line 2 City State ZIP Code

This field is hidden when viewing the form

Radius Driver on Average

<50 miles

51-200 miles

>200 miles

This field is hidden when viewing the form

Do You Have Any Claims?

Yes

This field is hidden when viewing the form

Loss Experience Information

Provide prior insurance carriers Information for past full three years

Policy (From)

Policy (To)

Insurance Company Name

No. of Vehicles

No. of Accidents

Loss Experience Information (Cont.)

Premium Liab.

Premium Phys Dam

Total Ammt Claims Pd and Reserves

This field is hidden when viewing the form

Please explain what happened

This field is hidden when viewing the form

If You Have Access To A PDF Of Your Coverage, Attach Here To Save Time.

Drop files here or

Max. file size: 98 MB.

This field is hidden when viewing the form

Comprehensive Deductible

This field is hidden when viewing the form

Collision Deductible

This field is hidden when viewing the form

Liability Limit

This field is hidden when viewing the form

Uninsured Motorist/Underinsured Motorist

This field is hidden when viewing the form

Hired & Non Owned

Yes

This field is hidden when viewing the form

Towing/Roadside

Yes

This field is hidden when viewing the form

Medical payments

This field is hidden when viewing the form

Do you have prior coverage?

Yes

This field is hidden when viewing the form

Continuous Coverage (Check One)

12 months or more on Commercial Vehicle Policy with no lapse in coverage

12 months or more on Personal Vehicle Policy with no lapse in coverage

6 months or more on Commercial Vehicle Policy with no lapse in coverage

6 months or more on Personal Vehicle Policy with no lapse in coverage

Less than 6 months on any policy with lapse in coverage

This field is hidden when viewing the form

Vehicle Information

This field is hidden when viewing the form

VIN

This field is hidden when viewing the form

Make

This field is hidden when viewing the form

Model

This field is hidden when viewing the form

Year Made

This field is hidden when viewing the form

GVW

This field is hidden when viewing the form

Jobsites/day

This field is hidden when viewing the form

Vehicle Value

This field is hidden when viewing the form

Primary Use

This field is hidden when viewing the form

Coverage Type With Liability Only

This field is hidden when viewing the form

Click here to add more vehicles

Add 2nd Vehicle

VIN

Make

Model

Year Made

GVW

Jobsites/day

Vehicle Value

Primary Use

Coverage Type With Liability Only

This field is hidden when viewing the form

Add 3rd Vehicle

VIN

Make

Model

Year Made

GVW

Jobsites/day

Vehicle Value

Primary Use

Coverage Type With Liability Only

This field is hidden when viewing the form

Add 4th Vehicle

VIN

Make

Model

Year Made

GVW

Jobsites/day

Vehicle Value

Primary Use

Coverage Type With Liability Only

This field is hidden when viewing the form

Add 5th Vehicle

VIN

Make

Model

Year Made

GVW

Jobsites/day

Vehicle Value

Primary Use

Coverage Type With Liability Only

This field is hidden when viewing the form

Driver Information

(If possible attach a picture of each driver's license below or text to 405-701-5368)

Name

DOB

Year Licensed

Years in Driving

No. of Accidents

No of Violations

Click here to add more drivers

Add Driver

Name

DOB

Year Licensed

Years in Driving

No. of Accidents

No of Violations

Add Driver

Name

DOB

Year Licensed

Years in Driving

No. of Accidents

No of Violations

Add Driver

Name

DOB

Year Licensed

Years in Driving

No. of Accidents

No of Violations

Add Driver

Name

DOB

Year Licensed

Years in Driving

No. of Accidents

No of Violations

This field is hidden when viewing the form

How did you find our agency?*

Current Client

Google Ad/Search

Facebook Page/Post

Facebook/Instagram Ad

Customer Referral

Landlord Postcard

Apartment Postcard

Real Estate Investor Postcard

Name of Person Who Referred You

This field is hidden when viewing the form

Beth Method To Contact*

Phone

SMS/MMS

Important Notice

By clicking “Submit”, you agree that Oklahoma Insurance Group may contact you via email, phone, and/or SMS/MMS for marketing purposes, including via automated technology, artificial voice messages, or pre-recorded calls.

Consent to receive marketing communications is not required to obtain any service, insurance product, or credit from Oklahoma Insurance Group.

You may individually select which partners you’d like to hear from.

Your consent to receive communications is legally binding under the ESIGN Act.

If you have questions, please feel free to contact us.

Ryan W.

These guys are great, I found them via Dave Ramsey's ELP program and I could not be happier with them. I increased coverage and saved money. I'm now letting them look at my life ins and my contractor business.

Sara A.

I have been so happy with the customer service that Emily has provided over the last year. She works hard to make sure we’re covered appropriately and affordably.