Here's Your Personalized Private Investigator Quote!HiddenSHID HiddenApplication ID Company Name Owner Name First Last HiddenMailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email HiddenPhoneHiddenEffective Desired Date MM slash DD slash YYYY HiddenBinder Date MM slash DD slash YYYY HiddenExpiration Date MM slash DD slash YYYY Quote BreakdownBase Premium**Subject to 25% minimum earned premiumTerrorism CoveragePremium SubtotalCompany FeeTaxStamping FeeProcessing FeeYour Total Cost for 1 Year of CoverageTotal PremiumChoose a Flexible Payment OptionHow much would you like to pay today?(Required) 25% Down & Monthly Payments 50% Down & Monthly Payments 75% Down & Monthly Payments Total Premium Today If you choose a Monthly Payment Option, we will contact you to set up a separate finance agreement. Finance Charges Apply.NOTICE: By selecting a payment arrangement, you are agreeing to an immediate payment of 25/50/75% Minimum Earned Premium based on your selected down payment; Subject to Audit, Rate per $1,000 of Payroll. You will receive a full payment agreement from our service team, which requires a signature and return to El Dorado Insurance immediately. By agreeing to this proposal of insurance, the policy holder authorizes El Dorado Insurance Agency to electronically deliver insurance policy(ies) along with any corresponding documents throughout the term of the policy. Hidden25% DownHidden50% DownHidden75% DownHidden100% DownTotal Down PaymentMonthly Payment AmountMonthly payment amount for remaining 8 monthsAuthorize Payment Using our SSL Encrypted FormToday's Payment Price: $0.00 Total Premium OptionToday's Payment Price: $0.00 Down Payment OptionHow would you like to pay today?(Required)ACH/Electronic Funds Transfer (eCheck)Credit CardHiddenPremium SubtotalCredit Card FeePlease note that if you select to pay using a Credit Card, there is a fee of 3.5% charged in addition to the premium amount selected.HiddenPayment AmountUsed to pass information onto ePayCardholder Name(Required) Card Number(Required) Expiration Month(Required)(e.g for Feb put 02)Expiration Year(Required)(e.g 4 digits for year such as 2017)CVV/CVC(Required)(3-4 digits on back of card)ACH Billing Name(Required) First Last Account Type(Required)Personal CheckingPersonal SavingsCorporate CheckingCorporate SavingsAccount Number(Required)Routing Number(Required)HiddenPayment Status HiddenTransaction ID Coverage You Are Purchasing TodayHiddenCarrier1 HiddenCarrier2 HiddenCarrier Champlain Specialty Insurance Company – AM Best Rating A - (Excellent) VII HiddenCarrier Champlain Specialty Insurance Company – AM Best Rating A - (Excellent) VII Limits of Liability General Aggregate $5,000,000 Products/Completed Operations $5,000,000 Personal & Advertising Injury $1,000,000 Each Occurrence $1,000,000 Professional Liability (Errors & Omissions) $1,000,000 Fire Damage $100,000 Medical Expense $10,000 Deductible $0 per claim including loss adjustment expense and defense costs Exclusions Employment Practices Liability Theft Punitive Damages Specific Work Excluded Security Consulting for professional sports leagues and or teams Repossessions, Foreclosures, or Collections Undercover Surveillance Operations Involving Infiltration of a Workforce or Workplace Bodyguarding inc’l but not limited to Celebrities, Athletes, Entertainers & Executives Operations Involving Security Guards Bail Enforcement, Bounty Hunting, Bail Bonding or Fugitive Recovery Use of Canines, Whether or Not Attended by Handlers Operations involving Drug Testing or Searches Money Couriers and/or Armored Car Operations Detective, Security and/or Firearm Instruction NOTICE: Your policy will be bound subject to confirmation that there are no monies owed to El Dorado Insurance Agency, Inc for prior insurance policies. If money is due to El Dorado, we reserve the right to cancel the insurance policy immediately.HiddenED User Binder HiddenED User Binder CommentsThis field is for validation purposes and should be left unchanged. Δ