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Insurance Quick Quote

Security Consultants, Security Guards, Private Patrols,
Armored Car Operations, and Private Investigators


  If both addresses are the SAME, please leave MAILING Address BLANK.
Business Phone: - - Home Phone: - -
Mobile Phone: - - Fax Number: - -

Information About Your Business

(if applicable)
(150 characters)


  Full Time Part Time
Owners / Officers / Partners
  Full Time Armed
Full Time Unarmed Part Time Armed Part Time Unarmed
Armored Car Operations
Private Investigators
Private Patrol
Security Consultants
Security Guards

Percentage of each type of work performed

Total must equal 100%
  Any Subsidized - Section 8 (HUD) or Low Income Housing?

Current Insurance Information

(200 characters)
  If YES, please complete this section.

Rating Information

(Guards, Patrol, and Investigators)
(Guards, Patrol, and Investigators)
(Guards, Patrol, and Investigators)
  Number    Payroll Avg. Hours / Week
Full-Time Guards:
Part-Time Guards:
      Are They Armed?
Full-Time Investigators / Detectives:
Part-Time Investigators / Detectives:
Full-Time Security Consultants:
Part-Time Security Consultants:

Limits of Liability / Coverage Information

Requested Effective Date for New Policy:    / / (M / D / YYYY)   
Limits of Liability:

Licensed Agent / Broker Information

  If YES, please complete this section.  
Prior to binding any coverage with AMIS, we must have a signed Broker Agreement, a copy of your Broker/Insurance License, and a copy of the declaration page of your E & O Insurance policy. Click here for more information.
  If NO, please complete this section.  
Contact Person Phone: - -
E&O Policy Expiration Date: / / (M / D / YYYY) 

Comments, Priority, Terms of Use

(200 characters)
Please Prioritize Your Request:

By submitting this quick quote application, you declare that:
  • the information you are providing is accurate and complete to the best of your knowledge and belief
  • you have read and agree to our underwriting conditions (Click here to view the conditions)
  • you have read and agree to our Fraudulent Acts Notice (Click here to view the notice)
  • you have read and agree to our California Notice (CA businesses only) (Click here to view the CA notice)
  • you have reviewed and confirm as true, correct and complete each of the representations and warranties and all other information set forth in the application.
Depending on the size of the risk, a full completed application may be required in order to receive a formal quotation prior to binding coverage. AMIS may elect to withdraw any indication quote upon review of a full completed application if the application does not meet the underwriting guidelines of the insurance company. Click here to view the underwriting conditions.
AMIS/Alliance Marketing & Insurance Services does not warrant or guarantee suitability or adequacy of coverage in meeting any generic, specific or contractual requirements of any insurance company, state, county, corporation, public entity, or public party that you may provide services to during the policy period, including any written or oral request forwarded to AMIS or its staff. You assume the risk of obtaining suitable or adequate coverage to meet any generic, specific or contractual requirements of your client or company. The information contained herein is provided with the understanding the AMIS is not engaged in rendering legal services, including legal opinions or advice, or professional risk management consulting. If legal services or professional services are required, you will need to seek the advice of legal counsel.

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NOTE: An application or information form is not an insurance policy and does not bind any coverage. All applications must be underwritten and a quotation will be issued subject to underwriting guidelines. The quotation does not bind coverage.