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Sample Business Insurance Lead

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Contact Information

Name: John Doe Email Address: johndoe@aol.com Business Phone: (512) 297-5555 Fax: (512) 297-5554 Street Address: 123 Main St. Location: Austin, Texas 78759

Company Information

Company Name: Widgets, Inc. Legal Classification: C Corporation Years in Business: 5 Annual Revenue: $500,000 - $1,000,000 SIC Code: 9999 Occupied SQFT: 2000 Owned / Leased: Leased Description: B2B Hardware Widgets Num Owners: 1 Num Full-Time Employees: 5 Num Part-Time Employees: 0 Years Management: 5 Hour Open: 9 AM Hour Close: 5 PM Hours Include Weekends: No

Coverage Type(s)

Group Health: No Commercial Auto: No Commercial Property: Primary Workers Comp: No Bonds: No Business Interruption: No Commercial Crime: No Director's Liability: No Employement Practices: No Business Owners Policy: No Executive Deferred Compensation: No Retirement / 401k: No Group Disability: No Group Life: No Key Man Disability: No Key Man Life Insurance: No Profesional Liability: No Supplemental Plans: No Commercial Liability: No

Commercial Property / Liability

Construction Type: Frame Square Footage: 2500 Stories: 1 Year Built: 1996 Security: Central / Monitored Sprinkler System: Yes Onsite Fitness Center: No Fire Alarm: Central / Monitored Within 1000ft of Fire Hydrant: No Parking: Parking Lot Cleaning Service: Yes Onsite Daycare: No Onsite Pool: No Property Deductible: $5,000 Physical Building Coverage: 2500 Personal Property Coverage: 250000 Additional Properties: No Number of Additional Properties: 0 General Liability Coverage Amount: $500,000 General Liability Deductible: $5,000 Currently Insured: Yes Insurance Provider: Other / My Company Is Not Listed Coverage Period: More than 1 year Policy Expiration: 2008-01-01 Claims in Past 5 years: 0 Annual Cost: 5000