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Tom Storm Insurance Agency, Inc.

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Tom Storm Insurance Agency, Inc.

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Tom Storm Insurance Agency, Inc.
11370 Grand River Rd.
Brighton, MI. 48116		   Google Maps
 
Phone:  810-588-6310
Fax:  800-550-1785
Email:  tom@tomstorminsurance.com

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Commercial Insurance Quote

Tom Storm Insurance Agency, Inc.
We would like to provide you with a free, no-obligation commercial insurance quote. Please provide as much information possible for the most accurate quote. This information will be kept confidential and will be used for quote purposes only.

General Information
Name of Business:
Contact Name:
Address:
City:   State:   Zip:
Business Phone:   Fax:
Best Time To Call:   AM   PM
Contact Email Address:

Current Insurance Information
Company Name (not agency):
Policy Expiration Date:   Premium Amount: $
What type of coverages do you currently have:
Commercial Auto
Commercial Liability
Commercial Property		 Commercial Umbrella
Workers' Compensation
Other  

About Your Business
# of full-time
employees
# of part-time
employees
How long
in business
How many
locations
Annual
sales
years
$
Please give a brief description of your business and clientel (below):

Coverage Information
Please select the type of coverages you want:
Commercial Auto
Commercial Liability
Commercial Property		 Commercial Umbrella
Workers' Compensation
Other  

Additional Comments
Please give any additional comments you feel appropriate for this quotation. If you have
additional information where there was not enough space, please enter them here.

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Tom Storm Insurance Agency, Inc.
Tom Storm Insurance Agency, Inc.
Tom Storm Insurance Agency, Inc.
Tom Storm Insurance Agency, Inc.
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Important Note: This website provides only a simplified description of coverages and is not a statement of contract. Coverage may not apply in all states.
For complete details of coverages, conditions, limits and losses not covered, be sure to read the policy, including all endorsements.