Business Auto Insurance Quote

Contact Information

Please provide us with the following information. Fields marked with * are required fields.

*First Name:
*Last Name:
*Title:
*Phone:
*E-mail

Business Information

*Business Name:
*Entity type:
*Address:
*City:
*State:
*Zip Code:
Web site address:
Best time to contact:

Autos to be insured:

Auto #1

Year:
Make:
Model:
Date of Purchase:
Cost at Date of Purchase:

Does this vehicle have any after market special equipment that may require additional coverage?

Yes No

Add

Driver Information

Driver #1

First and last name:
Date of Birth:
Assigned Vehicle:
Drivers License Number:
Drivers License State:

Has this driver been involved in any accidents or moving violations in the last three (3) years?

Yes No unknown

Has this driver received a violation for DUI within the last ten (10) years?

Yes No unknown

Add

Additional Information

Please tell us about your business and how you use your business autos.

Testimonials

I´m amazed, you guys gave me better coverage and for less money than I was paying, you guys are great!

Anne C.
Pasadena, CA
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Binney, Chase & Van Horne has provided our company with continuous high quality service and value for our insurance needs for three generations.

D.E. Benjamin,
Benjamin Electric Company
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> Read More Testimonials

Binney, Chase & Van Horne, Inc.
600 S. Lake Ave. Suite 306 Pasadena, CA 91106
(626) 792-7654 - Outside of the 626 area, phone our toll-free number: 800-585-8787

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