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   166 Winthrop Ave. Revere MA 02151 781-284-8783, fax 781-289-4451

Lattanzi Insurance Agency is licensed to sell insurance in the state of Massachusetts.   If you are not a resident of Massachusetts, or if the exposure you wish to insure is not in the state, we will be unable to provide you a quote.  Quotes provided from this form are estimates only.  These quotes are subject to change upon formal application and additional information obtained or revised.  Lattanzi Insurance Agency accepts no responsibility for electronic piracy, etc., when any information is submitted electronically.  Completing and submitting the following information indicates understanding and acceptance of these terms and conditions.  Submission of application information does not obligate you to purchase any product or insurance, nor does it represent any agreement to provide coverage under any insurance policy.

Business Insurance Quote Form

wpe5.gif (2088 bytes) for a quick comparison quote, fax your current policy to
(781) 289-4451 or email Peter@Lattanziinsurance.com

Please provide the following contact information:

Company name

Address

City

State (Mass. Only) Zip
Contact person
Work phone
Fax
Email

Please provide the following company information:

Full description of Business

How long in business
Type of insurance interested in:
(i.e. business auto, workers comp., property, liability, etc ...)
    Currently insured

Please list any questions or concerns about your business insurance needs.


Once the above information is received, our agency will contact you to discuss your insurance needs.