Upper Chesapeake Insurance
Agency of Baltimore, MD
offers affordable Commercial
Insurance coverage options
and experienced business
insurance services throughout
Maryland.
Contact us about Property,
Group Health, Auto, and
Workers Comp Insurance
for your Maryland business
at 410-385-0455.

In addition to a Maryland
Business Owners Insurance
quote, we also offer affordable
Group Health Insurance plan
quotes.
We are a local Baltimore, Maryland full service insurance agency, offering
comprehensive Maryland business owners insurance quotes to
businesses located in the following neighborhoods, cities and counties:
Federal Hill, Locust Point, Canton, Fells Point, Bolton Hill, Butchers Hill,
Dundalk, Essex, Baltimore Highlands, Lansdowne, Middle River,
Rosedale, Arundel Village, Brooklyn Park, Kenwood, Eastpoint, North
Point, Chesaco Park, Rossville, Halethorpe, Elkridge, Linthicum, Glen
Burnie, Rippling Ridge, Garland, Ferndale, Woodlawn Heights, South
Gate, Severn, Catonsville, Shipley, Arbutus, West Edmondale, High
Point, Riviera Beach, Green Haven, Orchard Beach, Lipins Corner,
Ellicott City, Lochearn, Brighton, Woodmoor, Rockdale, Lynne Acres,
Pikesville, Randallstown, Owings Mills, Garrison, Towson, Mays Chapel,
Overlea, Parkville, Carney, Perry Hall, Elmwood, Edgemere, North Point
Village, Rodgers Forge, Ruxton, Linhigh, Fullerton, Putty Hill,
Baynesville, Lutherville-Timonium, Annapolis, Columbia, Hampton,
Providence, Montgomery County, Carroll County, Prince Georges
County, Howard County, Anne Arundel County, Harford County, and
Baltimore County, MD. We also offer Maryland business owners
insurance quotes throughout the Old Line State.
We provide experienced Business Owners
Insurance services throughout Maryland!
Business Name:    
Premises Address:
City:
MARYLAND     Zip Code:
Contact Name:
Phone #:    Ext #:
Fax:    Years in Business:
Email Address: (Required) 
Website Address:
Description of Operations or SIC code:

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

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

Maryland 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 Maryland 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:                


   Maryland Workers Compensation Information
Class                         Code           Total Payroll
          $
          $
          $

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

Umbrella Insurance Amount Desired:

Additional Information



Click on the "Submit Quote Information" button below to send
your Maryland Business Owners Insurance quote request.**


**Information received from this Business Owners Insurance quote request
form sent to Upper Chesapeake Insurance Agency, 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 owners insurance policy 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 an Owners Insurance
Policy in Maryland. We are licensed in Maryland and will not provide
business owners insurance quotes for other states.


Maryland Business Information:
Maryland Business Owners
Insurance Quote
Upper Chesapeake
Insurance Agency, Inc.
900 South Charles Street
Baltimore, Maryland 21230
Baltimore County, MD
(410) 385-0455
Fax: (410) 385-3098

Upper Chesapeake Insurance Agency, Inc.
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