Business Name:    
Premises Address:
City:
GEORGIA
Zip Code:
Contact Name:
Phone #:    Ext #:
Fax:    Years in Business:
Email Address: (Required) 
Description of Operations or SIC code:

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

Annual Sales: $   Payroll: $
Business Income: $

Recent Insurance Information:

Other Insurance Company Used Within Past 3 Years: 
Policy #:
Losses past 3 years:     Amount paid for each loss: $
Description of losses or loss runs:


Coverage Amounts Desired:

Liability Limit Desired:    Deductible Desired:
Or choose other liability limit amount: $
Umbrella Amount Desired:

Georgia Property Information:

Building 1
Building Value: $   Contents Value: $
Total Building Area:        Year Built:
Construction Type:          Sprinklers:
Electrical Type:                             Amps:
Electrical Renovation Year: 
Plumbing Renovation:     Plumbing Renovation Year:
Heating Type:                 Heating Renovation Year:   
Roofing Renovation:       Roof Age (years):  
Central Alarm:
Distance to Coastline:
Flood insurance policy in force:

List Neighboring Businesses:
To the right:   Distance:
To the left:     Distance:
To the rear:    Distance:

Additional Information or Comments



Click on the "Submit Quote Information" button below to send your
Georgia Commercial Property Insurance quote request.**


**Information received from this Georgia Commercial Property Insurance quote
request form sent to JRS Risk Services 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 Georgia commercial property 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 a Georgia Commercial Property
Insurance policy. We are licensed in Georgia and will not provide commercial
property insurance quotes for other states.


Georgia Commercial
Property Insurance Quote
We can provide comprehensive Georgia
Business Property Insurance coverage services
in the Atlanta, GA area and throughout Georgia!
JRS Risk Services of Atlanta,
GA offers comprehensive
commercial insurance coverage
options and experienced
business insurance services
throughout Georgia.
Contact us about Georgia
Business Liability, Commercial
Auto, Business Owners,
Professional Liability, and
Business Property Insurance at
(678) 921-4650.

In addition to Georgia Business
Property Insurance quotes, we
also offer affordable Business
Liability Insurance plan quotes.
We are an Atlanta, GA insurance agency offering comprehensive Georgia
business property insurance quotes to businesses in the following cities
and counties in Georgia: Smyrna, Douglasville, Vinings, Oakdale, Sandy
Springs, Marietta, Riverside, Carey Park, Adamsville, Bolton, Center Hill,
Grove Park, Buckhead, Morningside, Fair Oaks, Privette Heights,
Dunwoody, Chamblee, Doraville, Skyland, Brookhaven, Embry Hills, Oak
Grove, Rehoboth, Vista Grove, East Marietta, Toco Hills, North Druid Hills,
Decatur, Scottdale, Clarkston, Belvedere, Pendley Hills, South Decatur,
Druid Hills, Gresham Park, Avondale Estates, Panthersville, North
Decatur, Cedar Grove, Conley, Forest Park, College Park, East Point,
Stockbridge, Morrow, Riverdale, Stone Mountain, Union City, Mableton,
Lithia Springs, Winston, Douglasville, Austell, Powder Springs, Hiram,
Dallas, Kennesaw, New Hope, Kennesaw, Acworth, Woodstock, Roswell,
Alpharetta, Norcross, Duluth, Gainesville, Buford, Auburn, Winder,
Cartersville, Rome, Cedartown, Peachtree City, Buckhead, Canton,
Cumming, Braselton, Sugar Hill, Hoschton, North Atlanta, Tucker, Pine
Lake, Mountain Park, Glen Haven, Belmont, Redan, Pittsburg, Lilburn,
Luxomni, Snellville, Five Forks, Centerville, Whitney, Pannell, Lithonia,
Dialtown, Flint Hill, Conyers, Milstead, Klondike, Panola, Snapfinger,
Magnet, Gloster, Bethesda, Pleasant Hill, Pittman, Mechanicsville,
Meadow, Berkeley Lake, Lawrenceville, Forest Hills, Suwanee,
Northwoods, East Lake, East Atlanta, Oakhurst, La Vista, Brookhaven,
Doraville, Fulton County, Dekalb County, Forsyth County, Gwinnett
County, Walton County, Newton County, Paulding County, Douglas
County, Cherokee County, and Cobb County, GA. We also offer
experienced Georgia business property insurance coverage quotes for
businesses throughout the Peach state, including in Macon, Columbus,
Augusta, Athens, and Savannah, GA.

Georgia Business Information:
JRS Risk Services
2727 Paces Ferry Rd. SE
Building 1, Suite 260
Atlanta, Georgia 30339
Cobb County, GA
Office: (678) 921-4650
Fax: (678) 921-4651

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Business Property
Insurance Connection
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