Free Business Owners Insurance Quote from MSK-Non Profit Insurance.com

non profit insurance, directors and officers insurance, and employer practices liability insurance quotes

Providing Innovative Resources for Non Profit Organizations
Professional Insurance Alternatives for the Non Profit Community

Local, Regional, and National Non Profit Organizations Served

Home Page

MSK Contact Info.

Service My Account

MSK Home Site

Insurance Counselors For:

Public Policy
Organizations

Foundations

Associations

Arts and Cultural
Organizations

Performance Companies

Social Service Agencies

Residential Providers

Sports Programs

Special Needs Camps

Private Libraries

Private Museums

Private Historic Homes

Private City Clubs

Non-Profit Organizations
with Foreign Exposures

Questions?

We welcome any questions and inquiries you may have:

info@msk-
nonprofitinsurance.com

we are a trusted choice non profit insurance agent!

McManus Serra & Klein, Non Profit Practice Group.
Professional.
Responsive.
Competitive.

Nonprofit Insurance Package Information Form One Simple Form - takes only 2-3 Minutes! Your Organization's Contact Info:
Your Organization's Name:
Contact:
E-Mail (required):
E-Mail Again (for accuracy):
Phone:
Fax (optional):
Organization Web Address:
Mailing Address 1:
Mailing Address 2:
City:
State:
Zip/Postal:
Your Organization's Underwriting Information:
*(Don't worry if you are not exactly sure about all of the following information. At this point, simply answer the questions as best as you can.)*
Describe, in detail, your organization's operations:

Date of the formation of the organization:

Corporate Form (example 501(c)3, PC or LLC):

Current Policies:		Currently Insured by:
Package
Workers Compensation
Automobile
Professional Liability
Directors and Officers
Other

Current Gross Revenue:	Main office/facility:	s.f.
Current Annual Payroll:	Number of Employees:

List Claims & Amounts Paid Last Five Years

Main Location:
Street Address 1:
Street Address 2:
City:
State:
Zip/Postal:

Building Value of Main Location if owned:

Contents Value of Main Location:

Type of Building (wood frame, concrete):

List of other Tenants in Building (if less than 5):

List of Safety Features (fire, burglary, sprinklers etc.):

List, by address, of all other locations (if any):

Automobile Information:
Do you own or operate any automobiles, vans or trucks?:

If so, how many of each type:

Thank you for filling out this form COMPLETELY!
We value your input as PRIVATE information and we have endeavored to insure your privacy and security. We will not give your data to ANY other person or group for sales, or marketing. We will only use this information within McManus Serra and Klein and between us and our insurance markets solely for the purpose of quoting, and if authorized by you or your organization to securing and maintaining insurance coverage for your organization. By checking the box below you agree to allow our agency to release this information to our insurance markets for the purpose stated above. You and your organization agrees to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Yes, I Agree. Please Contact us about our Insurance Needs!

Click Button Below When Done

Please Click Only Once . . . May take up to 30 seconds!


MSK-Non Profit Insurance.com \| 400 Greenwood Avenue, Wyncote, PA 19095 \| Phone: 215-481-0400 Fax 215-481-0410 Terms of Use/Privacy Notice/Copyright Info. \| Please report site-related technical problems to: info@msk-nonprofitinsurance.com Design © 2006 Insurance-Web-Sales