Policy Timing
Coverage start, takeover, or expiration date
Store Identity
Legal name, DBA, EIN, and entity type
Property & Mailing Addresses
Store location and mailing address
Owner / Contact Information
Building Details
Construction, size, and layout
Employees & Operations
Headcount, payroll, and cash on hand
Safety & Security Systems
Sprinkler, alarm, cameras, and safe
Values & Annual Sales
Building, inventory, and revenue breakdown
Current Insurance & Claims History
Upload Documents (Optional)
Attach your current dec pages and/or loss runs to speed up quoting
Declarations Page
Your current policy's first page showing coverage limits, carrier, and policy period
Loss Run Report
Claims history from your current or prior carrier — typically 3–5 years
Max 10 MB per file · Files are transmitted securely · You can also email documents directly to CommercialInsuranceAgency@gmail.com
Ready to Submit?
A licensed commercial broker will review your submission and respond within one business day with hardware store insurance options tailored to your operation.