Business Insurance Quote Form


Please be advised that Hodges Insurance Agency cannot bind, modify or terminate coverage by messages left on our online quote system or by messages sent by email.


General Information
Business Name:
Applicant:
E-mail Address:

Address:
City: State: NC Zip:
Phone:



Business Information
Description of Operation:
Number of Employees:
Estimated Annual Sales: $
Estimated Annual Payroll: $
 
Limits of Liability: $   Per occurrence
Number of years in business:
Number of years of experience:

Have you had general liability
  coverage before? 		Yes No
If yes... with what company:

Do you currently have General Liability? Yes No

Other Comments:


   

Thank you for completing the General Liability quote form.
Please click on the Submit the Form button above
to submit the information to Hodges Insurance Agency.

Hodges Insurance Agency will review your information and contact you with a quote.

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Hodges Insurance Agency, Inc.
info@hodgesinsurance.com
120 North Main Street
PO Box 330
Louisburg, NC 27549
Office: 919-496-5155
Fax: 919-496-2723

Mon-Fri 9:00AM-5:00PM
And by Appointment

NOTICE OF LICENSURE
Hodges Insurance Agency, Inc. is licensed to conduct business in the state of North Carolina. The information on this site is a solicitation to conduct business only in the aforementioned state of authority.

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