Business Name:    
Premises Address:
City:
South Carolina
Zip Code:
Contact Name:
Phone #:    Ext #:
Fax:    Years in Business:
Email Address: (Required) 
Federal Employer's ID #:
Description of Operations or SIC code:


Number of Employees:              
Payroll (not including owners): $
Estimated Gross Receipts:       $

Select all that apply to your South Carolina business:
Operate or lease aircraft/watercraft     Work Underground
Work above 15 feet                           Require out of state travel
Use Subcontractors                            Delivery Service
Pre-employment physicals                   Offer safety incentive programs
Store, treat, dispose, or transport hazardour waste
Work on vessels, docks, or bridges over water
Other

Recent Insurance Information:

Current Insurance Company: 
Policy #: Expiration Date: (mm/dd/yyyy)

What types of coverages do you currently have:
Benefit Liability               Business Liability
Commercial Umbrella     Directors & Officers Liability
Discrimination                 Errors & Omissions
Product Liability              Professional Liability
Other

Other Insurance Company Used In Last 3 Years: 
Policy #:
Losses past 3 years:     Amount paid for each loss: $
Description of losses or loss runs:


Choose South Carolina General Liability Insurance Limits:

General Aggregate Limit (other than products completed)   
Products/Completed Operations Aggregate Limit                
Umbrella Amount:

If you've already filled out information on your buildings or facilities
in another insurance quote form then skip the section below.


Building 1
Building Value: $   Contents Value: $
Total Building Area:        Year Built:
Construction Type:          Sprinklers:
Electrical Type:                             Amps:
Electrical Renovation Year: 
Plumbing Renovation:     Plumbing Renovation Year:
Heating Type:               Heating Renovation Year:   
Roofing Renovation:       Roof Age (years):  
Central Alarm:

List Neighboring Businesses:
To the right:   Distance:
To the left:     Distance:
To the rear:    Distance:

Additional Information or Comments



Click on the "Submit Quote Request" button below to send your
South Carolina General Liability Insurance quote request.


**Information received from this South Carolina General Liability Insurance quote request form sent to Russell-Massey & Company will be for our use only and will not be sold, given to or distributed to any other parties. A quote will be based on the South Carolina general liability insurance information provided and does not guarantee acceptance of the risk by us. The precise coverage afforded is subject to meeting underwriting guidelines, and the terms, conditions and exclusions of the policy as issued. By submitting this request you acknowledge that this is neither an offer to insure nor a guarantee of insurance. Completion of this form does not entitle your business to a South Carolina General Liability Insurance policy. We are licensed in South Carolina and will not provide business liability insurance quotes for other states.


South Carolina General
Liability Insurance Quote
We can provide less expensive South Carolina General Liability
Insurance coverage quotes for your Columbia, SC business!
Russell-Massey & Co. of
Columbia, SC offers
comprehensive commercial
insurance coverage options
and affordable business
insurance services
throughout South Carolina.
Contact us about South
Carolina Group Health,
Commercial Auto,
Commercial Property,
General Liability, Worker
Comp, Contractor, and
Business Owners Insurance
toll free at (800) 849-7475.
In addition to South
Carolina Business Liability
Insurance quotes, we also
offer other affordable South
Carolina Business
Insurance quotes.
We are a Columbia, SC insurance agency offering an affordable
South Carolina business liability insurance quote to your mid-sized,
large, or small business in one of the following towns, cities and
counties in South Carolina: Chapin, Arthurtown, Saluda Terrace,
Sandwood, Arcadia Lakes, Cayce, Olympia, Forest Acres,
Dentsville, Eau Claire, West Columbia, Springdale, Denny Terrace,
Belmont, St. Andrews, Irmo, Oak Grove, Lexington, Galaxy, Bluff
Estates, Hazelwood Acres, State Park, Haskell Heights,
Lincolnshire, Ballentine, Killian, Red Bank, South Congaree,
Edmund, Gilbert, Summit, Gaston, Hopkins, Capitol View, Horrel Hill,
Fort Jackson, Pontiac, Elgin, Blythewood, Camden, Richtex,
Whitehall, White Rock, Sumter, Lugoff, Boykin, Rembert, Hagood,
Horatio, Stateburg, Borden, Wedgefield, Oswego, Gadsden, Fort
Motte, St. Matthews, Swansea, Woodford, Winnsboro, Pelion,
Steedman, Samaria, Monetta, Batesburg-Leesville, Stoney Hill,
Prosperity, Newberry, Peak, Little Mountain, Slighs, Pomaria,
Jenkinsville, Rion, Winnsboro Mills, Simpson, Smallwood, Ridgeway,
Orangeburg, Lexington County, Fairfield County, Calhoun County,
Sumter County, Kershaw County, Saluda County, and Richland
County, SC. We can also offer inexpensive South Carolina business
liability insurance quotes to small businesses throughout the
Palmetto state, including in Florence, Greenville, Spartanburg, Myrtle
Beach, and Charleston, SC.
South Carolina Business Information:
Your South Carolina
Business Liability Insurance
Quote Source
Russell-Massey & Co.
1320 Elmwood Avenue
Columbia, SC 29201
Richland County, SC
Toll Free: (800) 849-7475
Office: (803) 779-7854
Fax: (803) 799-6546
Russell-Massey & Co.
409 Lexington Avenue
Chapin, SC 29036
Lexington County, SC
Office: (803) 941-3650
Fax: (803) 941-3654
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South Carolina
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Russell-Massey
& Company, Inc.
General Insurance
South Carolina Business
Liability Insurance Solutions!
800-849-7475 toll free
803-779-7854
Serving South Carolina Since 1955