Vincent F. Gauci - VFG Associates,LLC

VFG Associates, LLC

Return to Main Website

Call 734-855-4930
or 800-859-4453
Fax 734-855-4933
29432 Joy Road, Livonia, MI 4815

Request Form

Business/Commercial Insurance Quote Request

Please note: We cannot bind coverage from an email request. Coverage is bound after you receive a written email or telephone confirmation from an agency staff member.

Please Select your preferred agent.
Agent:
Your name:   Number of employees:
Email:   Annual sales receipts:
Phone:   Total Payroll:  (Excl. owners/officers)
Name of business:   No. of owners/officers:
Business address: Street   Type of business:
    Years in business:
City, State, Zip   Current Carrier:
        Current Effective date:
Describe your business:
Liability Coverage:
Liability Limit:   
Business Auto Coverage:
If auto coverage needed, please complete this section.  If auto coverage is not needed, please skip to Comments section.
Liability Limit: 
Any drivers under 25 or over 70?  No    Yes
Covered vehicles:
Veh Year Make/Model Gross Weight Radius Driven Comp Coverage Collision Coverage
1
2
3
4
5
Do any vehicles listed above have special equipment?  If yes, please describe below:
Comments:
Please include any additional information or comments here:

Protecting your privacy and identity is very important to us. 
Social Security and drivers license numbers may be required to complete this quote.   Please be sure you have provided an accurate contact number so that we can contact you personally for this information.


If you have not received a response from us within one business day, please contact us again.

Securities Offered Through KCD Financial,Inc. Member FINRA & SIPC, 3313 S. Packerland Drive, Suite E, DePere, WI 54115