Farm & Liability Insurance Estimate

For a free, no-obligation insurance estimate, please complete the following form, or call us toll free at the following number: 1-800-821-5558. Thank you!

We use only “A-rated” companies to provide the very best and safest farm coverage

Get a Farm Application PDF

Personal Information

1. Name(required)
2. Address
3. Parish or County(required)
4. City(required)
5. State
   Florida is Ineligible(required)
6. Zip(required)
7. Number of Acres(required)
8. Distance to Fire Station(required)
9. Phone
10. Please call me as soon as possible during business hours.
11. Fax
12. Email(valid email required)

Commercial Liability Information

1. Choose coverage preferred 300,000 Occurrence/900,000 Aggregate Limits 500,000 Occurrence/1,500,000 Aggregate Limits 1,000,000 Occurrence/3,000,000 Aggregate Limits
2. Number of Horses Owned(required)
3. Number of Non-Owned Horses Boarded(required)
4. Number of Non Owned Horses in Training(required)
5. Number of Clinic Days per year(required)
6. Number of Show Days per year(required)
7. Number of Horses Sold per Year(required)
8. Max. Number of Horses Used for Lessons at One Time(required)
9. Estimation of Annual Gross Riding Income(required)
10. Care, Custody & Control
11. Limit per horse/Max. Loss per Policy Year Select one Decline $5,000/$25,000 $5,000/$50,000 $10,000/$50,000 $10,000/$100,000 $25,000/$100,000 $25,000/$250,000 $50,000/$250,000 $100,000/$500,000 $Other - Please contact me (required)

Farm Property Information

1. Deductible $1,000 $3,000 $5,000
3. I own the property described below. I rent the property described below.

Residence 1

1. Year Built
2. Style Ranch Split Level 1 1/2 Story 2 Story Modular Mobile Home Other
3. Manufacturing
4. Frame Brick/ Masonry Steel
5. Basement None Slab Crawl Space Half Full
6. Value(required)

Residence 2

1. Year Built
2. New FieldStyle Ranch Split Level 1 1/2 Story 2 Story Modular Mobile Home Other
3. Manufacturing
4. Frame Brick / Masonry Steel
5. Basement None Slab Crawl Space Half Full
6. Value

Farm Building 1

1. Year Built
2. Number of Stories
3. Style Arena Hay / Equipment Storage Stable Stable w/ Apartment Other - describe below
4. Manufacturing Pole Frame Masonry Steel
5. Number of Stalls
6. Fully Enclosed?
7. Yes No
8. Used for Hay Storage?
9. Yes No
10. Value(required)

Farm Building 2

1. Year Built
2. Number of Stories
3. Style Arena Hay / Equipment Storage Stable Stable w/ Apartment Other - describe below
4. Manufacturing Pole Frame Masonry Steel
5. Number of Stalls
6. Fully Enclosed?
7. Yes No
8. Used for Hay Storage?
9. Yes No
10. Value

Farm Building 3

1. Year Built
2. Number of Stories
3. Style Arena Hay / Equipment Storage Stable Stable w/ Apartment Other - describe below
4. Manufacturing Pole Frame Masonry Steel
5. Number of Stalls
6. Fully Enclosed?
7. Yes No
8. Used for Hay Storage?
9. Yes No
10. Value

Notify Me By

2. phone Fax Email
3. Send information regarding horse mortality insurance.
4. Add me to your regular email list.

I found Agri-Risk Services by:

1. Referral Source Please Select One Friend Lender / Bank / Mortgage Co. Insurance Agent Realtor Seller Instructor / Trainer Veterinarian Horse Hauling Company Internet / Google Internet / Yahoo Internet / Equine Search Engine Magazine I am a current / former customer Other: (required)
2. Details (Optional)

Additional Comments

 

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