Insurance Definitions
The following information is missing:
Applicant Information
Thank you for your interest in our MicroTek Insurance Product. This product provides coverage for Errors and Omissions, General Liability and Property for information technology service providers. To receive a quote, simply answer the following questions. If you have questions, please chat or call the number listed above.
Applicant Name
Business Website
Contact Name
Contact Phone
Contact Email
Quote Information
Street Address 1
Street Address 2
City
State
CA - California
CT - Connecticut
FL - Florida
NJ - New Jersey
NY - New York
PA - Pennsylvania
TN - Tennessee
Zip Code
For Errors & Omissions, General Liability and/or Property, in the last 5 years, has any claim been made or suit brought against the insured, its predecessor(s) in business, or any of its present or former owners, partners, officers, directors, employees, or independent contractors?
No
Yes
Revenues
What is the total number of employees? (includes owners, principals and partners)
What does your business do? Please
check each one
that applies. Select “Other” if your business description is not listed and write a short description of the services you provide.
Cloud Providers/Application service provider/software as a service
What percentage of receipts are derived from this?
Consulting/training/project management/staffing
Data or records storage/retrieval/back-up
What percentage of receipts are derived from remote data back-up?
Database administration
Hardware evaluation/selection/maintenance
Hardware manufacturing
What percentage of receipts are derived from this?
Help desk
Internet service provider, search engine or online publishing/sales
Network or computer security
What percentage of receipts are derived from this?
Software development/installation/sales
If developing packaged software, please provide number of licenses
Systems, network or audio-visual evaluation/design/cabling/support
Web design/development/hosting or search engine optimization
Other
Please provide a short description of the services you provide in the box below
New
Fraud and Privacy Policy
Underwriting Companies
