General Libility Insurance Quote

Complete our form and we’ll get back to you with your insurance quote.

26 years in business

100% customer satisfaction

4 knowledgeable advisors

multiple coverage options

Apply Today

General Liability Quote Form

Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Personal Information

Company Name(Required)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Primary phone number(Required)

Alternate phone number

Email(Required)

Company Owner

Name(Required)

First Last

Nature of Business

Number of owners

Gross Annual Sales

Number of Employees

Annual Employee Payroll

Subcontractors Used

Percentage of Residential Work

Percentage of Commercial Work

Percentage of Work Subcontracted

Annual Cost of Subcontractors

Square Footage of Location

Additional Information

Prior Insurance

Length of Coverage (Months and Years)

Number of Additional Insureds Needed

Preferred Contact Method:

Additional Comments:

By checking this box, you agree to receive an SMS from Furr Insurance Agency. You may reply Stop to opt-out at any time!

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.

We extend coverage to individuals and businesses in Lexington, VA, Buena Vista, VA, Staunton, VA, Waynesboro, VA, and Covington, VA.

166 Walker Street Lexington, VA 24450

furrinsuranceagency@yahoo.com

Policy Change Request

Report A Claim

Request Certificate

Monday —— 9:00AM –5:00PM

Tuesday —— 9:00AM –5:00PM

Wednesday — 9:00AM –5:00PM

Thursday —— 9:00AM –5:00PM

Friday ——— 9:00AM –5:00PM

Saturday —————— Closed