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Insurance
Business Insurance
Commercial Property Insurance
General Liability Insurance
Commercial Auto Insurance
– View All Business
Business Life Insurance Solutions
Term Life Insurance
Trades We Serve
Technology & Emerging Businesses
Retail Businesses
Restaurants & Bars
Property Owners and Lessor’s Risk
Professional Offices
Medical and Healthcare Practices
Franchise Restaurants
Financial Services & Institutions
Clubs, Associations & Non-Profit Organizations
About
About Us
Meet Our Team
Customer Reviews
Our Process
Insurance Companies
Insurance Blog
Support
Online Billing & Payments
File A Claim
Certificate of Insurance Request
Policy Change Request
Annual Insurance Review
Insurance Resources
Contact
Houston Office
Secure Contact Form
Refer a Business
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Employees
Employees
Dominique Renaud
President
Ana Laura Menchaca
Office Manager
We Want Your Opinion!
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Business Information
Full Legal Business Name
*
DBA (if applicable)
Website (if applicable)
Contact Information
First Name
*
Last Name
*
Email
*
Business Phone Number
*
Mobile Number (Optional)
Mailing Address
Address Line 1
City
State
Zip Code
Is mailing address the same as physical address?
Is mailing address the same as your physical address?
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About Your Business:
Business Description
*
Your Current Insurance Experience:
Do you currently have insurance?
*
Do you currently have insurance? *
Yes
No
What concerns do you have about your current insurance agency or program? (select all that apply)
*
What concerns do you have about your current insurance agency or program? (select all that apply) *
Service (slow response, poor communication)
Claims (denied claims, slow settlements)
Cost (unexpected increases, unclear fees)
Coverage (gaps, missing endorsements)
Referral
Other (please describe)
Please describe in more detail what led you to explore new insurance options.
Premium & Current Efforts:
To help direct your request to the appropriate marketing team in our agency, can you tell us if your current business insurance annual premium is:
*
To help direct your request to the appropriate marketing team in our agency, can you tell us if your current business insurance annual premium is: *
Over $50,000
Under $50,000
This helps us ensure your account is handled by the team best equipped to assist your type of business and insurance needs.
Do you currently have other insurance agencies working on quotes for you?
*
Do you currently have other insurance agencies working on quotes for you? *
Yes
No
Next Steps:
Before providing quotes, we will need to review your current insurance policies, contracts your business is signing, and other relevant documents. This ensures we understand your risks fully and can help you in the most ethical and effective way. We look forward to working with you.
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Type of Insurance
*
Insurance Type *
General Liability
Business Insurance
Property Insurance
Business Auto
Life Insurance
Term Life Insurance
By submitting your information, you agree that an authorized representative or licensed insurance agent may contact you by phone or email to answer your questions or provide additional information about Medicare Advantage plans, Prescription Drug Plans or Medicare Supplement Insurance plans. This is an advertisement for insurance.
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See How Our Independent Insurance Agency Benefits You
See How Our Independent Insurance Agency Benefits You
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