Small Call to Action Headline

(801) 997-8196

Home
About
Services
Blog
Contact

Home
About
Services
- Health Insurance
- Life Insurance
Contact

Get a Quote

Commercial Insurance Quote

Choose your coverage needs and we’ll match you with the right options.

Business Name *

Contact Name *

Email *

Phone *

State *

Zip Code *

I consent to be contacted by phone, email, or text about insurance-related information.

A licensed agent may contact you. This is a solicitation for insurance.

Industry / Type of Business *

Years in Business

Number of Employees: *

Annual Revenue

Business Address

Do you currently work with a Fortune Shield agent? *

Yes

No

Agent Name

What type of coverage are you looking for? *

General Liability

Property / Equipment

Workers Compensation

Commercial Auto

Professional Liability (E&O)

Cyber Liability

Business Owner’s Policy (BOP)

Umbrella / Excess Liability

Health / Group Benefits

Other

Other?

Are you currently covered? *

Yes

No

Current carrier

Expiration date

Any claims in the past 5 years? *

Yes

No

describe if yes

Please describe briefly.

Do you use subcontractors or 1099 workers?

Yes

No

Do you or your employees perform any high-risk work (e.g., roofing, heavy equipment, hazardous materials)? *

Yes

No

Briefly describe the type of work.

Estimated value of business-owned property or equipment *

Physical vs mailing address (commercial quoting often needs both for carrier systems). *

Federal EIN or Tax ID

Do you have a current certificate of insurance or prior policy?

Do you or your employees drive company vehicles? *

Yes

No

How many?

Estimated monthly or annual insurance budget

Are you also interested in quotes for these related coverages?

Group Health Plans

Key Person / Life

Commercial Auto

Cyber

None

Thanks for completing your business insurance request! Our licensed advisors will shop multiple carriers to find coverage tailored to your business needs.

Expect a call, text, or email within 24 hours.”

📅 Schedule a Call: Book Now

📞 Fortune Shield Insurance Licensed Advisors | Business, Commercial & Group Coverage

NEXT

Let's Get You the Protection You Deserve

Home

About Us

Services

Contact

Client Portal

Office Hours: Mon–Fri, 9am–5pm MST

Privacy Policy

Cookie Policy

Disclaimer

Terms of Service

Fortune Shield is a licensed independent insurance agency. Not all products are available in all states. Eligibility and benefits vary by carrier and state. Enrollment subject to approval. Fortune Shield is not connected with or endorsed by the U.S. government or the federal Medicare program.

Site Created by Design Logic Agency

Copyright © 2025 Fortune Shield | All Rights Reserved