Email: dmathews@ma-insurance.com | Address: 840 Liberty Street, Springfield, Massachusetts 01104
 
 
 
 
Sullivan Keating & Moran Insurance Agency of Springfield Inc.
 
INSURANCE AGENCY OF SPRINGFIELD INC.
 
It's a good policy to know your agent!
 
 
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Online Quotes

Business Quote Form

 
 
1. Name Business:

 
 
 
Name Owner:
 
 
 
E-Mail Address:

 
 
 
2. Address / Zip:

 
 
 
3. Bus. Phone / Fax / Home:
 
 
 
4. Type of Business:
 
 
 
Detailed Description:
 
 
 
7. Number of Locations:
 
 
 
8. Business Address(s):
 
 
 
 
Build:
 
 
 
Sprinklered:
 
 
 
 
 
Year Built:
 
 
9. Coverage: Property
 
 
Square Ft:
 
 
 
 
 
Building $
 
 
 
 
Property $
 
 
 
 
 
LIABILITY:
 
 
 
 
Loss Income $/mo.
 
 
 
 
10. Annual Gross Sales $:
 
 
11. Est. Payroll $ / mo.:
 
 
 
 
12. Prior Insurance Company:
 
 
13. Any Losses Last 3 Years: