Bike Shops and Rental OperatorsQuote Request Form Business Name Date the Business Started Company Website Head Office Address Province British Columbia Ontario Alberta City Postal Code Contact First Name Contact Last Name Job Title Contact Phone Contact Email How many years experience do you have in this industry? Provide a brief explanation of operations. How many full-time staff do you have? How many part-time staff do you have? What is the expected payroll this year? What was the gross revenue last year? What is the expected revenue this year? Do you purchase any equipment direct from the manufacturer? Yes No Do you purchase all bikes from North American Wholesalers? Yes No Do you fabricate any custom bikes? Yes No Do you offer Rental Bikes? Yes No (If yes) Number of customers/year (If yes) Provide the average number of units in the rental fleet which are E-bikes (If yes) Do you confirm that all E-bikes available for rental have a max 500w motor or have governors limiting speeds to a max of 32 km/hr? Yes No (If yes) Do you require a signed rental agreement, if so please provide a copy. Yes No (If yes) Upload rental agreement Do you offer Guided Rides, Coaching and/or Special Events for your clientele? Yes No If yes, please provide a detailed description What percentage of your sales is from the USA? Do you have online sales and or services? What percentage of your sales is from the USA Please break-down where your revenue comes from based on good (sales) or services offered Do you accept liability on behalf of a third-party? Yes No Do you hire contractors to complete work? Yes No If so, are they required to have their own insurance? Yes No How many physical locations does the business have? Does it own any of these locations? Yes No If so, do you need commercial property quoted as well? Yes No What amount of liability would you like? $1M $2M $3M $5M $10M What deductible would you like? $500 $1,000 $2,500 $5,000 Do you have office supplies or equipment you want coverage for? Yes No If so, please explain. Where was the last year your Roof was updated? Where was the last year your Plumbing was updated? Where was the last year your Wiring was updated? Where was the last year your Heating System was updated? Has the business been involved in any claims in the last 5 years? Yes No If yes, please provide a description, including dollar amount paid or held in reserve? Has the applicant ever been declined or canceled by an insurance company? Yes No ›» SUBMIT