Submit BOP Quote Request - XRISK Wholesale & Specialty Insurance Solutions

Step 1: Business Information

Legal Business Name *

DBA Name (if any)

Street Address *

City *

State *

ZIP Code *

Type of Business Entity *

Federal Employer ID Number (FEIN/EIN)

Years in Business *

Business Website

Step 2: Contact Information

Primary Contact Name *

Primary Contact Email *

Primary Contact Phone *

Agency Name (if applicable)

Agent Name (if applicable)

Agent Email (if applicable)

Step 3: Business Operations

Detailed Description of Business Operations *

Primary Business Classification * Refer to the Appetite Guide on our BOP page for eligible classes.

Annual Gross Revenue (Previous Year) *

Total Number of Employees (Full-time & Part-time) *

Total Square Footage of Premises *

Year Building Constructed

Building Construction Type

Fire Protection Systems (e.g., Sprinklers, Alarms)

Security Systems (e.g., Burglar Alarm, Cameras)

Any Prior Insurance Losses (Last 3-5 Years)? *

Yes No

If Yes, please provide details (Date, Type of Loss, Amount Paid, Open/Closed)

Step 4: Coverage Information

Requested Property Coverage - Building Limit If building is not owned, enter 0 or leave blank.

Requested Property Coverage - Business Personal Property (BPP) Limit *

Requested Property Coverage - Business Income (with Extra Expense) Limit

Desired Property Deductible *

Specify Other Property Deductible

Requested General Liability Limit *

Specify Other Liability Limit

Specific Endorsements or Additional Coverages Needed (e.g., Hired & Non-Owned Auto, Employee Benefits Liability)

Current Insurance Carrier (if any)

Current Policy Expiration Date (if any)

Step 5: Upload Documents

Please upload any relevant documents, such as current declaration pages, loss runs (3-5 years), or specific questionnaires. Max file size: 5MB per file. Allowed types: PDF, DOC, DOCX, XLS, XLSX, JPG, PNG.

Current Declaration Pages

Loss Runs (3-5 Years)

Business Owner's Policy (BOP) Quote Request

BOP Quote Form

Step 1: Business Information

Step 2: Contact Information

Step 3: Business Operations

Step 4: Coverage Information

Step 5: Upload Documents