Hendrickson Insurance · Sarasota, Florida

Retail & strip-center tenant application.

Business owners policy, liability, and property for Gulf Coast retail shops and strip-center tenants — Sarasota, Bradenton, Tampa, and St. Petersburg. Dennis managed shopping centers for years, so he underwrites these the way a landlord reads a lease: your space, your sales, your inventory, and what the center requires of you. Estimates are fine where you are not sure.

A. Business & Contact

Legal / named insured (business name) *

Required.

DBA / store name

Contact name *

Required.

Store address

City

State

ZIP

Business phone *

Required.

Email *

Enter a valid email.

Entity type

Years in business

# of locations

B. The Store

What do you sell? *

Required.

Describe products / services

Square footage

Own or lease the unit?

In a strip center / plaza?

Landlord require you to name them as additional insured?

Lease-required liability limit

C. Sales & Property

Annual sales / revenue

Inventory / stock value

Fixtures & equipment (BPP)

Tenant improvements / betterments value

Building value (if owned)

Exterior sign value

D. Operations & Exposure

Alcohol as % of sales

% of sales online / shipped

Do you manufacture, import, or private-label products?

Security in place

Open after 11pm?

E. Coverage Wanted & Current Insurance

Check what you want quoted

# of full-time employees

Current carrier (if any)

Current policy expires

F. Loss History

List date, type, and amount for each

G. Acknowledgement

I certify the information above is true and complete to the best of my knowledge. Submitting this form does not bind coverage; coverage is subject to underwriting approval and payment of premium.

Typed signature (full name) *

Required.

Date *

Required.

I agree to the statement above. *

Please confirm to submit.

Back

✓

Thank you — application received

Dennis will review it and follow up shortly with your quote. Questions? Call or text 941-952-7991.

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