Business Packages
In today's highly competitive business environment, you need every advantage to succeed. That's especially true when it comes to selecting your business insurance. With GEMS you get very broad coverage at a highly competitive price. This gives you the protection you need and the cost savings you demand.
Inquiry Form
If you would like GEMS Insurance to quote an insurance package for your business, we invite you to complete the following form. Please fill in all fields applicable to your request. A comment area is provided at the bottom of the form for you to ask questions or clarify your inquiry. If your browser does not support forms, feel free to E-Mail us.

Note: We serve only California.

Contact Name

Business Name

DBA

Street Address

City   State   Zip

Phone Number
Best Time to Call   AM   PM

Fax   E-Mail

Number of Employees

Type of Business:   Corporation   Partnership   LLC   Sole Proprietorship

Business Package Items
    Building Limit

    Personal Liability Limit

    Business Income

    Sign Coverage Yes   No   Sign Value

    Crime Limit

    Liability Limit

    Off-Premises Power Failure   Yes   No

    Equipment Breakdown Limit

    Food Spoilage Limit

    Employee Dishonesty   Yes   No

    Hired & Non-Owned Auto Limit

    Medical Payments

    Employee Benefits

    Liquor Liability   Yes   No


Years Business Experience

Experience at This Location

Hours of Operation   Age of Building

Burglar Alarm System   Yes   No

Fire Alarm System   Yes   No

Sprinkler Alarm System   Yes   No

Gross Annual Sales

Gross Annual Liquor Sales

Annual Payroll

Comments/Questions




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Thank You!