Littman Insurance, Serving the Insurance Needs of Michigan, Illinois, and Indiana Residents and Businesses
Meeting the Insurance Needs of Michigan, Illinois and Indiana Residents & Businesses for over 20 Years!
 
Our Personal Lines Markets
Personal Auto Insurance

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Business Owners Insurance

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Workers Compensation

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Builder's Risk Insurance


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The Littman Agency Offers You a Satisfaction Guarantee!

   
On-Line Commercial General
Liability Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!
Your Personal Data

Your Name:
Business Name:
Property Address:
City:
State:
Zip/Postal:
E-Mail (REQUIRED):
Phone:
Fax (optional):
 
Underwriting Information
 
Primary Policy Holder's Social Security Number or Corporation Federal Tax ID#:
(Some carriers use credit history to qualify, this information is REQUIRED)
 
Date Coverage Needed:
 
Prior Carrier:
 
Describe Business:
 
Gross Annual Receipts: $
 
Gross Annual Payroll: $
 
Square Footage of
Your Business Location: 		$
 
Number of Employees:
 
Tell us what kind of
commercial coverage you
are looking for, and why:
 
Prior Claims? Yes No
Describe claims in detail:
 

Limits & Coverages:
Liability Limits: $100,000    $300,000
$500,000    $1 Million
 
Business Contents Needed?
If so, list type and amount:
 
Comments/Remarks:
 
Send my quotation via: E-Mail Fax
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We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency release this information via the method you have chosen, and to release us any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

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The Littman Insurance Agency | 1200 E. Chicago | Sturgis, MI 49091
Toll Free Phone: 1-800-431-8873 | Phone: 1-269-651-6311 | Fax: 1-269-651-2925
Our Normal Office Hours are: 9:00 to 5:00, Weekdays. | View Our Privacy Notice
Email Us: tim@littmaninsurance.com | Website Design © 2006, Insurance Web Sales