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ADDRESS: 810 Travelers Blvd. F-1 Summerville, SC 29485

CALL US TODAY! 843-873-6776

Corvino Insurance Agency, Inc.

Address: 810 Travelers Blvd. F-1 Summerville, SC 29485

Call Us Today! 843-873-6776

Corvino Insurance Agency, Inc.

Home
About
Automotive Insurance
Homeowner’s Insurance
Life Insurance
Health Insurance
Business Insurance
Travel Insurance
Contact Us

Experienced Business
Insurance Agency

BUSINESS INSURANCE

You have invested time, money, and yourself in your business. Protect that investment with the correct business insurance plans for your specific business. Corvino Insurance Agency, Inc. in Summerville, SC has custom-tailored programs for all types of businesses, from small artisans to stores and special services. It’s important to keep your business protected at all times. Give us a call at 843-873-6776 for a quick and convenient quote today!

REQUEST A BUSINESS QUOTE REQUEST A SPECIAL EVENT QUOTE

What We Help With

GENERAL LIABILITY
WORKER’S COMP
PROFESSIONAL LIABILITY
AND MORE

Insurance Agent Shaking Client's Hand — Summerville, SC — Corvino Insurance Agency, Inc.

Keep Your Business and Assets Safe

You worked hard to start your business. Our business insurance offers protection from property damage, injury claims, legal claims and more. It’s important to stay compliant with state laws regarding insurance and most specifically worker’s compensation insurance. Call our team today to help setup a customized commercial insurance plan for your business.

Commercial Insurance Quote

COMMERCIAL INSURANCE QUESTIONNAIRE

Agent Information

Agent Information

Applicant Name

Title

Type of Business

Individual

Partnership

Corporation

Sub “S” Corp.

LLC

Non-Profit

If Corporation

If Corporation

Principal’s Name and Title

Business Name: (DBA if not a corporation)

Business Address

Mailing Address, if different from Business Address

Phone

Fax

Cell Phone

Web Site URL

E-mail Address

Years in Business

Years Experience

Employees

Full Time

Part Time

Annual Payroll

Estimated Revenue for the next 12 months

Nature of Business

Type of Insurance Needed

Commercial General Liability

Property

Workers Compensation

Business Owners Policy

How much Coverage do you need?

How much Coverage do you need?

Each Occurrence

General Aggregate

PROPERTY SECTION

Property Section

Coverage Amounts for the following

Coverage Amounts for the following

Building

Contents

Age of Building

Square Footage

Construction Type

Stories

Monitored Burglar Alarm in place?

Y

N

Monitoring Company Name

Fire Department in business area?

Have any of the following been upgraded since the building was first constructed, if so, provide extent and date of upgrade:

Have any of the following been upgraded since the building was first constructed, if so, provide extent and date of upgrade:

Roof

Heating

Electrical

Plumbing

Remarks

GENERAL QUESTIONS

General Questions

1. Is the Applicant a subsidiary of another entity?

Y

N

2. Does the applicant have any subsidiaries?

Y

N

3. Is a formal written safety program in place?

Y

N

4. Any exposure to flammables, explosives, or chemicals?

Y

N

5. Any policy or coverage declined, cancelled or non-renewed in the last 3 years?

Y

N

6. Any claims in the past 5 years?

Y

N

7. Any bankruptcies, tax or credit liens against the applicant in the last 5 years?

Y

N

8. Any medical facilities provided?

Y

N

9. Any medical professionals employed or contracted?

Y

N

10. Any exposure to radioactive/nuclear materials?

Y

N

11. Any past or present operations involving hazardous materials?

Y

N

12. Any operations sold, acquired or discontinued in the last 5 years?

Y

N

13. Any machinery or equipment loaned or rented to others?

Y

N

14. Any watercraft, docks or floats owned hired or leased?

Y

N

15. Any parking facilities owned or rented?

Y

N

16. Is a fee charged for parking?

Y

N

17. Recreation facilities provided?

Y

N

18. Is there a swimming pool on premises?

Y

N

19. Sporting or Social Events sponsored?

Y

N

20. Any structural alterations contemplated?

Y

N

21. Any demolition exposures contemplated?

Y

N

22. Has applicant been active in or currently active in joint ventures?

Y

N

23. Is there a labor interchange with any other business or subsidiaries?

Y

N

24. Any Day Care facilities operated or controlled?

Y

N

25. Have any crimes occurred or attempted on your property in the last 3 years?

Y

N

26. Is there a formal written security policy in place?

Y

N

27. Does business promotional literature make any representations about the safety or security of the premises?

Y

N

28. Has the business been placed in a trust?

Y

N

a. Name of the trust

Please explain any “YES” answers

Thank you for contacting us.
We will get back to you as soon as possible.

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SPECIAL EVENT QUOTE

SPECIAL EVENT APPLICATION

Applicant’s Name

Agent

Mailing Address

Address

Applicant’s Phone Number

Phone

Web URL

Inspection Contact

Contact Phone Number

Proposed Policy Period

Proposed Policy Period

From

To

Applicant is

Individual

Partnership

Corporation

Joint Venture

LLC

Other

Event Location #1

Event Location #2

Event Location #3

Event Date

Description of Event

Total days of Event

Estimated Attendance per Day

Gross Sales

Food or Beverages sold or served by applicant?

Y

N

If yes, provide details

Alcoholic beverages on premises?

Y

N

If yes, are they served by

Applicant or

Other

Is liquor liability coverage in place?

Y

N

Seating arrangements – Describe (i.e., permanent, portable, bleachers, chairs, etc.)

If portable, who erects the seats?

Setup – Describe all exposures: (i.e., booths, stages, electrical, special effects, etc.)

Who is responsible for the setup?

Security – Describe (i.e., guards- unarmed vs. armed, dogs, off-duty police, etc.)

If guards are used, do they have their own insurance?

Y

N

Parking Facilities?

Y

N

Operated by

Applicant

Others

If Others, do they have their own insurance

Y

N

Is parking area

Paved

Dirt

Other (describe)

Medical Emergencies – Describe how an emergency will be handled

Are Certificates of Insurance required from all subcontracted operations?

Y

N

Does the Applicant use any mobile equipment?

Y

N

If yes, describe and give details how it is used.

ANIMAL EXPOSURE

Animal Exposure

Are there animal rides?

Y

N

If yes, are the animals hand lead?

Y

N

List the types of animals

Describe area where rides are given (arena, roped off area, etc.)

Is safety apparatus used?

Y

N

Is there a petting zoo?

Y

N

If yes, Describe

List the types of animals

How is it set up (fenced area, etc.)?

Is it supervised?

Y

N

Amusement Devices – Kiddie Type

Amusement Devices – Kiddie Type

Provide a complete list of equipment

Is applicant properly licensed to operate equipment?

Y

N

Are the rides supervised at all times?

Y

N

Does the vendor or subcontractor operate kiddie rides?

Y

N

Amusement Devices – Other than Kiddie Type

Amusement Devices – Other than Kiddie Type

Operator must have insurance and provide certificate of insurance with limits and coverage at least equal to those requested on this application.

Demolition Derby, Mud Bogs, and Tractor Pulls

Demolition Derby, Mud Bogs, and Tractor Pulls

Provide description of facility (Attach diagram on separate sheet) including type of protection used to protect the spectators from flying debris, placement of barriers to keep vehicles a safe distance from spectators, etc.

Dog Races, Horse Races, Rodeos, and Horse Shows

Dog Races, Horse Races, Rodeos, and Horse Shows

Provide description of facility (Attach diagram on separate sheet)

Are spectators allowed in any area where animals are kept when not performing?

Y

N

Do livestock contractors have their own insurance?

Y

N

Is seating at least ten feet from the arena?

Y

N

Fairs and Carnivals

Fairs and Carnivals

Provide complete description of event (Attach diagram on separate sheet indicating location of each exhibit, booth, ride, event, etc.).

Fireworks Exhibitions

Fireworks Exhibitions

Pyrotechnicians must be licensed, have insurance and provide certificates of insurance with limits and coverage at least equal to those required on this application.

Y

N

Are volunteers used to perform any duties at the exhibition?

Y

N

Spectators must be at least one hundred fifty feet from where fireworks are being set off.

Spectators must be at least one hundred fifty feet from where fireworks are being set off.

Describe Crowd controls used to maintain this distance

Describe duties performed by volunteers

Musical Concerts

Musical Concerts

Name of performers and type of music

Do they have their own insurance?

Y

N

Describe seating, i.e., bleachers, grass, folding chairs, etc.

Is seating assigned?

Y

N

Option 3

Type of venue

Indoor

Outdoor

If outdoors, is facility designed to accommodate this type of event?

Y

N

Parades – Spectator Liability Only

Parades – Spectator Liability Only

Provide complete description of parade including crowd control (attach diagram of route and spectator areas on separate sheet.)

Provide number and type of Floats.

Are there any animals in the parade?

Y

N

If yes, please describe

Are participants required to have their own insurance?

Y

N

Limits – General Liability (per Occurrence)

Limits – General Liability (per Occurrence)

GENERAL AGGREGATE (OTHER THAN PRODUCTS COMPLETED OPERATIONS

GENERAL AGGREGATE (OTHER THAN PRODUCTS COMPLETED OPERATIONS

GENERAL AGGREGATE (OTHER THAN PRODUCTS COMPLETED OPERATIONS

PRODUCTS AND COMPLETED OPERATIONS AGGREGATE

PRODUCTS AND COMPLETED OPERATIONS AGGREGATE

PRODUCTS AND COMPLETED OPERATIONS AGGREGATE

PERSONAL AND ADVERTISING INJURY (ANY ONE PERSON OR ORGANIZATION)

PERSONAL AND ADVERTISING INJURY (ANY ONE PERSON OR ORGANIZATION)

PERSONAL AND ADVERTISING INJURY (ANY ONE PERSON OR ORGANIZATION)

EACH OCCURANCE

EACH OCCURANCE

EACH OCCURANCE

DAMAGE TO PREMISES RENTED TO YOU (ANY ONE PREMISES)

DAMAGE TO PREMISES RENTED TO YOU (ANY ONE PREMISES)

DAMAGE TO PREMISES RENTED TO YOU (ANY ONE PREMISES)

MEDICAL EXPENSE (ANY ONE PERSON)

MEDICAL EXPENSE (ANY ONE PERSON)

MEDICAL EXPENSE (ANY ONE PERSON)

CERTIFICATE RECIPIENTS / ADDITIONAL INTERESTS

Certificate Recipients / Additional Interests

Name and Address

Name and Address

Relationship to Applicant

Relationship to Applicant

Additional Insured

Additional Insured

Certificate

Certificate

Name and Address

Relationship to Applicant

Additional Insured

Certificate

Name and Address

Relationship to Applicant

Additional Insured

Certificate

Name and Address

Relationship to Applicant

Additional Insured

Certificate

Prior History and Loss Information

Prior History and Loss Information

PRIOR CARRIERS (LAST THREE YEARS)

Year

Year

Carrier

Carrier

Policy Number

Policy Number

Limits

Limits

Premium

Premium

Year

Carrier

Policy Number

Limits

Premium

Year

Carrier

Policy Number

Limits

Premium

Year

Carrier

Policy Number

Limits

Premium

LOSS HISTORY (LAST FIVE YEARS)

LOSS HISTORY (LAST FIVE YEARS)

Date of Loss

Date of Loss

Type Of loss

Type Of loss

Description of Loss

Description of Loss

Amount Paid

Amount Paid

Reserve

Reserve

Date of Loss

Type Of loss

Description of Loss

Amount Paid

Reserve

Date of Loss

Type Of loss

Description of Loss

Amount Paid

Reserve

Date of Loss

Type Of loss

Description of Loss

Amount Paid

Reserve

Date of Loss

Type Of loss

Description of Loss

Amount Paid

Reserve

Date of Loss

Type Of loss

Description of Loss

Amount Paid

Reserve

Has the applicant been cancelled or non-renewed in the last three years?

Y

N

Thank you for contacting us.
We will get back to you as soon as possible.

Oops, there was an error sending your message.
Please try again later.

Get Your Business Insurance Quote Today

Corvino Insurance Agency, Inc. in Summerville, SC, can be reached at 843-873-6776.

Home
About
Automotive Insurance
Homeowner’s Insurance
Life Insurance
Health Insurance
Business Insurance
Travel Insurance
Contact Us

Home
About
Automotive Insurance
Homeowner’s Insurance
Life Insurance
Health Insurance
Business Insurance
Travel Insurance
Contact Us

CONTACT INFOrMATION

Phone: 843-873-6776

Fax: 843-873-1620

Email: dave.corvino@corvinoinsurance.com

Address: 810 Travelers Blvd. F-1 Summerville, SC 29485

HOURS OF OPERATION

Monday: 9:00 am - 5:00 pm
Tuesday: 9:00 am - 5:00 pm
Wednesday: 9:00 am - 5:00 pm
Thursday: 9:00 am - 5:00 pm
Friday: 9:00 am - 5:00 pm
Saturday: Closed
Sunday: Closed

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