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

Number of Employees:              
Payroll (not including owners): $
Estimated Gross Receipts:       $

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

Please Quote: (check as many boxes as desired)
Owners Insurance
Complete Business Insurance Package

Florida Property Information

Contents (including inventory): $
Square footage you occupy:
Building Limit (if you own the building) $

Type of Construction:

Electrical Type:             Electrical Renovation Year: 
Plumbing Renovation:     Plumbing Renovation Year:
Heating Type:               Heating Renovation Year:   
Roofing Renovation:       Roof Age (years):  
Sprinkler system in your building?
Burglar Alarm:        Central Station Alarm:

Total Annual Sales: $
Is your store located within 5 miles of any coastline?

Florida Liability Information

Select all that apply to your Florida business:
Operate or lease aircraft/watercraft     Work Underground
Work above 15 feet                           Require out of state travel
Use Subcontractors                            Delivery Service
Pre-employment physicals                   Offer safety incentive programs
Store, treat, dispose, or transport hazardour waste
Work on vessels, docks, or bridges over water

General Aggregate Limit (other than products completed):   
Products/Completed Operations Aggregate Limit:                

   Florida Workers Compensation Information
Class                         Code           Total Payroll

Experience Mod (if any, per policy)
Federal Employer's ID #

Umbrella Insurance Amount Desired:

Additional Information

Click on the "Submit Quote Request" button below to send your
Florida Business Owners Insurance quote request.**

**Information received from this Florida Business Owners Insurance quote request form sent to Optimal Insurance Group 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 Florida business owners 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 Florida Owners Insurance policy. We are licensed in Florida and will not provide business owners insurance quotes for other states.

Florida Business
Owners Insurance Quote
We offer affordable Florida Business Owners Insurance
coverage in the Palm Beach County, Florida area!
Optimal Insurance Group of
Boca Raton, FL offers
comprehensive commercial
insurance coverage options and
affordable business insurance
services throughout Florida.
Contact us about Florida
Group Health, Commercial
Auto, Commercial Property,
General Liability, and Business
Owners Insurance at
(561) 342-1695.
In addition to Florida Business
Owners Insurance quotes, we
also offer affordable Group
Health Insurance quotes.
We are an independent Boca Raton, Florida insurance agency offering less
expensive business owners insurance quotes to mid-sized, large, and
small businesses in the following towns, cities and counties in south
Florida: Boynton Beach, Gulf Stream, Delray Beach, Lantana, Rainbow
Lakes, Atlantis, Lake Worth, South Palm Beach, Palm Springs,
Greenacres, Wellington, Haverhill, Palm Beach, Golden Lakes, Riviera
Beach, Glen Ridge, West Palm Beach, Lake Park, Royal Palm Beach,
Jupiter, Coral Springs, Fort Lauderdale, Parkland, Coconut Creek,
Margate, North Lauderdale, Lighthouse Point, Hillsboro Beach, Deerfield
Beach, The Hamptons, Highland Beach, Weston, Plantation, Playland
Isles, Melrose Park, Lauderhill, Sunrise, Tamarac, Wilton Manors,
Oakland Park, Lauderdale Lakes, Sea Ranch Lakes, Villages of Oriole,
Pompano Beach, Lauderdale-by-the-Sea, Boca West, Boca Pointe, Juno
Beach, North Palm Beach, Loxahatchee, Belle Glade, Palm Beach
Shores, South Miami, Cutler Ridge, Princeton, Perrine, Naranja,
Homestead, Florida City, Leisure City, Richmond Heights, Pinecrest,
Howard, Coral Way Village, Westchester, Westwood Lakes, Brownsville,
Sweetwater, Key Biscayne, North Bay Village, Miami Beach, Miami
Springs, Virginia Gardens, Hialeah, El Portal, Miami Shores, Medley,
Indian Creek, Surfside, Bal Harbour, North Miami, Biscayne Park,
Pinewood Park, Opa Locka, Bunche Park, Hialeah Gardens, Palm Springs
North, Carol City, Norland, Ojus, Miami Lakes, Biscayne Gardens,
Hallandale, Sunny Isles Beach, Golden Beach, Aventura, Uleta, Miramar,
Pembroke Pines, North Miami Beach, Hallandale Beach, Ives Estates,
Pembroke Park, Coral Gables, Kendall, Dania Beach, Cooper City, Davie,
West Miami, Hollywood, Broward County, Martin County, Miami-Dade
County, and Palm Beach County, FL. We can also offer Florida business
owners insurance quotes throughout the Sunshine state, including in
Winter Haven, Lakeland, Miami, Orlando, Tampa, St. Petersburg,
Tallahassee, and Jacksonville, FL.
Florida Business Information:
Optimal Insurance Group
4800 North Federal Hwy
Suite D-100
Boca Raton, Florida 33431
Palm Beach County FL
(561) 342-1695
Fax: 866-314-4026
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