Renewal Checklist Renewal Checklist Name of Business Have you added or changed your business entity?* Yes No New business name* FEIN* Have you purchased or leased a new building or location?* Yes No New Address* Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State ZIP Code Sales of new location* Have you purchased new equipment or vehicles?* Yes No Please provide all details of new equipment including VIN, make/model, and monetary value.Have you added or removed any employees?* Yes No How many employees do you have now?* Annual Payroll for W2 Employees* If multiple locations, please provide an employee count for each location.*Have any of your business operations or services offerings changed?* Yes No Please describe the new operations or services offered.Expected sales revenue over the next 12 months?* Please break down by location if multiple business locations exist.*Do you hire subcontractors or intend to in the next 12 months?* Yes No What % of work is done by subcontractors?* Expected annual pay to subcontractors* Are you interested in any other types of coverage for your business? General Liability Business Owner's Policy Professional Liability Workers' Compensation Business Property Business Auto Cyber Liability Inland Marine No thanks