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Buckler Insurance Services
Personal
Automobile Insurance
Boat and Motor Insurance
Condominium Insurance
Home Insurance
Rental Property Insurance
Seasonal Residence Insurance
Tenants Insurance
Umbrella Liability Insurance
Yacht Insurance
Commercial
Commercial Fleet Insurance
Commercial Vehicle Insurance
Errors & Omissions
Liability Insurance
Property Insurance
Umbrella Liability Insurance
Life Insurance
Annuities
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Disability Insurance
Group Plans
Investment Funds
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Retirement Planning
Term Deposits
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Resources
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Web Links
Downloadable Forms
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Commercial Insurance
Name:
(Required)
Email Address:
Address:
(Required)
City:
Province:
Postal Code:
Phone Number:
Age of Building:
Less then 1 year
1 - 20 years
20 - 35 years
More then 35 years
Construction of building:
Frame
Masonry
Non-Combustible
Fire Resistive
Is the building sprinklered:
Yes
No
How much area do you occupy:
Less then 5,000
5,000 - 10,000
Greater then 10,000
What type of business:
Retail
Office
Building Ownership
Wholesale Operation
Farm
Service Operation
Contractor
Garage Operation
Manufacturer
Other
Are you the only tenant:
Yes
No
Is there a hydrant within 500 ft. (150 metres):
Yes
No
Is there a fire hall within 3 miles (5 kms):
Yes
No
Has insurance ever been denied or canceled:
(Required)
Yes
No
How many years in the business:
Less then 1 years
1 - 5 years
More then 5 years
Have there been any insurance claims in the last 3 years:
No
Less then or equal to 2
More then or equal to 3
What are the annual receipts:
Up to $50,000
$51,000 to $100,000
$101,000 to $500,000
$501,000 to $1,000,000
Over $1,000,000
What is the annual payroll:
Up to $50,000
$51,000 to $100,000
$101,000 to $500,000
$501,000 to $1,000,000
Over $1,000,000
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