JSA Homepage
Current Quote Status
Started:
05/25/2016
Incomplete Provide Basic Information
Incomplete Generate Applications
Incomplete Submit For Binding Approval
Quote Look-Up
Need Help?
Rachel Patterson If at any time you need assistance please contact Rachel Patterson at 800-342-5572 or rachel@jsausa.com
Tools
Ask Question
New Quote
If you can not see the log in box click this link.
VA 2016 CE Signup
facebook

facebook

twitter
Get Adobe Reader
You will need Adobe Reader© to view PDF documents in this website.

Vacant Building Quote

Agency Information:
Agent Name:
Note: This is the name of the agent requesting the quote, NOT the agency name.
Agency Name:
Agency Phone:  -  - 
Agency Fax (optional):  -  - 

Applicant Information:
Applicant Name:
How long has this property been vacant: Months
Please select the number of claims that have occurred over the last 3 years:

Basic Quote Information:
Select the coverage you would like to quote:
General Liability
Property
Package (General Liability and Property)
Choose a state:
What is the reason for the vacancy?
What are the plans for the building?
Is there any existing damage to the building?

AAMGA Member NAPSLO Member
This program is only available to properly licensed retail insurance offices
© 1981 - 2016 Jackson Sumner & Associates - All Rights Reserved - Patent Pending