Glidewell Investments & Insurance Group, Inc.

STAFF / DEPARTMENT DIRECTORY

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Business Insurance Quote

Whether your business is large or small, we have a variety of special programs to meet your goals and can tailor a program to cover your specific situation. We can assist you right now in identifying the coverages and costs available to you.

Please complete and submit the preliminary information form below and one of our qualified representatives will contact you promptly. We respect your privacy and will not distribute any of your information to others.

Business Name:
Contact Person:
Preferred method of Contact:
Please provide:
Preferred time of contact:
Number of full-time employees:
Number of part-time employees:
Year business was established:
Does the organization own any automobiles?
Does the business currently carry business insurance?
When is the last time the business had a claim?
Do you own the building you occupy or are you a tenant?
Any exposures outside your day-to-day operations for which you require coverage?
Building Value:		$
Contents Value:		$
Building Construction:
Frame		Masonry
Year building was built:
Is the building sprinklered?
Any other buildings owned?
If yes,
Building Value:		$
Contents Value:		$
Building Construction:
Frame		Masonry
Year Building was built:
Is the building sprinklered?

Securities offered through SIS Financial & Insurance Services.
777 108th Ave. N. E., Bellevue, WA 98004, Tel: (800) 469-7667
Glidewell Investments & Insurance, Inc., is not a subsidiary or an affiliate of SIS Financial & Insurance Services