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Chaska, MN Office
1107 Hazeltine Boulevard, Suite 118
Chaska, MN 55318
952-829-5404
952-649-5079 text
info@wise-agency.com
Office Hours: 8:30-5, M-F
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952-829-5404
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Insurance Solutions
–
Personal Insurance
Home
Auto
Umbrella
See All
Insurance by Industry
Homeowners Association
Machine Shop
Brewery
See All
–
Business Insurance
Cyber Liability
Business Owners
General Liability
See All
Employee Benefits
Group Health
Group Dental
Group Vision
See All
Explore Interactive Graphics
Click it. Read it. Cover it.
Service Center
Explore Policy Options
Report a Claim
Request Auto ID Card
Request a Certificate
Policy Review
Request Policy Change
Happy with Wise Insurance Agency?
Refer a friend.
About
About Our Agency
Meet Our Team
Read Our Reviews
We Are Independent
Join Our Team
Blog
Read Our Raving Reviews
Our clients know best.
Contact
Chaska, MN Office
1107 Hazeltine Boulevard, Suite 118
Chaska, MN 55318
952-829-5404
952-649-5079 text
info@wise-agency.com
Office Hours: 8:30-5, M-F
Review Us
Refer Us
Contact
Visit our Chanhassen, MN, location.
952-829-5404
Request Quote
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Commercial Renewal Form
Commercial Renewal Form
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*
" indicates required fields
Business Name
*
Business Name
*
Full Name:
*
First Name
*
Last Name
*
Phone Number:
*
Phone Number:
*
Email Address:
*
Email Address:
*
Mailing/Correspondence Address:
*
Street Address
*
Address Line 2
City
*
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State
*
ZIP Code
*
Are there any significant changes in your business operation in the last 12 months? (Merger/Acquisition, New lines of business, new categories of operation, etc.)
Are there any significant changes in your business operation in the last 12 months? (Merger/Acquisition, New lines of business, new categories of operation, etc.)
How many W-2 employees does your team currently have?
*
How many W-2 employees does your team currently have?
*
What is your projected total W-2 payroll for the upcoming 12 months?
*
What is your projected total W-2 payroll for the upcoming 12 months?
*
What is your projected gross revenue for the upcoming 12 months?
*
What is your projected gross revenue for the upcoming 12 months?
*
What is your projected total paid to subcontractors or 1099 team members for the upcoming 12 months? (if applicable)
What is your projected total paid to subcontractors or 1099 team members for the upcoming 12 months? (if applicable)
If you have acquired any new property, added locations, or made other changes that effect your insurance needs, please detail them here.
If you have acquired any new property, added locations, or made other changes that effect your insurance needs, please detail them here.
We maintain an extensive network of local professionals to help our clients with many potential needs. Please check any box below for any service you'd like a personal introduction to one of our Channel Partners in that area.
Health or Life Insurance Agent
Financial Advisor
C.P.A. or Accountant
Bookkeeping Service
Attorney (all categories)
Commercial Lender
Commercial Real Estate Agent Commercial Property Manager
Banker
Hard / Private Money Lender Mortgage lender
Residential Real Estate Agent Residential Property Manager
Roofer
Construction / Home Builder Handyman / Routine Housework Automobile Sales
Automobile Service / Repair
Moving Company
Landscaper
Electrician
Plumber
Heating and A/C Service / Repair
Pool Service / Repair
Pest Control / Exterminator
Marketing agency
Physician (All Specialties)
Dentist
Chiropractor
Physical Therapist
Computer Service / Repair
Web Design / SEO Consulting
Do your renewal policies need to be submitted to L&I?
Do your renewal policies need to be submitted to L&I?
Do we need to add any additional insured's to your policy? (Bank, landlord, new contracts, etc)
Do we need to add any additional insured's to your policy? (Bank, landlord, new contracts, etc)
My business is built on referrals. What businessowners do you know that could benefit from my help?
My business is built on referrals. What businessowners do you know that could benefit from my help?
Is there anything else that we need to know now to make sure your insurance program is exactly what you need?
Is there anything else that we need to know now to make sure your insurance program is exactly what you need?
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