Minnesota Accountant Professional Liability Insurance Center - Click for home page
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Professional Liability Insurance Quick Quote Form

Fill out the form below - just 3 minutes could save you up to 37% on your professional liability coverage, and could reveal dangerous gaps in your current policy!

"Shaun Irwin's been handling all of our risk management and insurance needs for years. Not only are they very competitive, their knowledge is unsurpassed. You can't go wrong with the CPA Risk Insurance Center." -Steve Pelner, Padgett Business Services, Burnsville, MN

Applicant Information
Firm Name:
Address:
City:
State: Zip:
Contact Person:
Contact Title:
Date Established:
Phone:
Fax:
Email:
Company Website:
 
Current coverage
Do you currently have Professional Liability Insurance? yes no
If yes:  
Insurance Company:
Retroactive date:
Expiration date:
Current Premium:
Renewal Date:
Policy Limit:
Deductible:
Years of continuous coverage:
   
Firm Information
Percentage of income derived from these types of practice (total = 100%)
% Audit % Bookkeeping
% Fiduciary/Trustee % Review
% Tax % EDP
% Compilation % SEC
% other
   
Total Staff: # Part time # Full time
Owners, Partners & CPA's:
Non-CPA employees:
Clerical/other:
 
Coverage Selection
Desired Limit of Liability per Claim / Aggregate
$100,000/$300,000
$250,000/$500,000
$500,000/$1,000,000
$1,000,000/$1,000,000
Other:
Desired Deductible Per Claim
$1,000
$2,500
$5,000
$10,000
Other
Desired Effective Date:


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Information provided on this form will be kept confidential and shared only with affiliate companies for quoting purposes. We respect your privacy, and we will never sell or share this information with any outside parties. Coverage is not bound or implied until confirmed directly from Minnesota Account Professional Liability Insurance Center, a division of Anderson Insurance & Investment Agency Inc.
 

Minnesota Accountant Professional Liability Insurance Center
A Division of Anderson Insurance and Investment Agency, Inc.
Toll Free Phone 1-866-710-3030
Toll Free Fax 1-866-810-3030
 312 Central Ave SE
Suite 392
Minneapolis, MN 55414
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