Zavagn 440-884-2530, Pavarini 216-374-4500

Pest Control Business Insurance

Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Company Information

Company Name

Required

Street

Required

City

Required

State

Required

ZIP / Postal Code

Required

Primary Phone Number

Required

Alternate Phone Number

Optional

E-Mail Address

Required

Business Type

Optional

Company Owner

First Name

Required

Last Name

Required

Gross Annual Sales

Optional

Square Footage of Location

Optional

How long in business?

Required

How many years experience in this field?

Required

Trade Organization Membership

Optional

Prior Insurance

Optional

Length of Coverage (Months and Years)

Optional

Expiration Date

Optional

Number of Additional Insureds Needed

Optional

Describe any claims, lawsuits, administrative actions

Optional

Number of Owners

Optional

“Employees” include: Sole proprietor, Partner, Executive Officers, Seasonal employees, Part-time employees, Full-time employees.

Number of Full Time Employees

Required

Number of Part Time Employees

Optional

Annual Employee Payroll

Optional

Please explain pre-employment screening requirements

Required

Subcontractors Used

Optional

Annual Cost of Subcontractors

Optional

What state(s) do you offer products or services?

Required

What percentage of your services are provided at:

Commercial, Industrial or Institutional Locations

Required

Food Service, Restaurant, Kitchen Locations

Required

Residential Homes and Apartments

Required

How many WDI inspections are conducted each year?

Required

Describe any aerial, drone, crop spraying, tenting services offered

Required

Describe treatment of private ponds, lakes, streams, or other bodies of water?

Optional

Describe bedbug treatments, heat treatments

Optional

List main chemicals used for treatment

Optional

Attach your customer service agreement

Optional

Do you need pricing on commercial auto, buildings, business property?

Required

Do you need pricing on a surety bond?

Required

How did you hear about us?

Optional

Full Name of Person Entering Application

Required

Submission Validation

Required

Enter the Validation Code from above.

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.

Insurance Websites Designed and Hosted by Insurance Website Builder

Zavagno 440-884-2530 and Pavarini 216-374-4500