The Metropolitan Agency Serving the Tri-State Area:
New York - New Jersey - Connecticut
Call Us: (914) 275-1160 Call Us: (914) 275-1160
Fax: 845 227 3465

One Company, Endless Solutions

The Metropolitan Agency provides Personalized Insurance and Risk Management Solutions in the
New York Tri-State Area.

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The Metropolitan Agency The Metropolitan Agency
BBB - Accredited Business
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Product Liability Insurance Quote Request

Please take a moment to fill out the form below and one of our local insurance agents will contact you with a free, no-obligation quote. This information will be kept confidential and will be used for quote purposes only.


General Information     
Name of Business:
Contact Name: *
State:     Zip:
Business Phone: *  
Best Time To Call:   AM   PM
Contact E-mail: *

About Your Business
Number of
How long
in business
How many
Annual Payroll
years $
Business Type: Manufacturer
Please give a brief description of your business and operations:

Current Insurance Information
Carrier Name:
Expiration Date:
    Premium Amount: $
Years Insured:

Product Information
Nature of Product:
Estimated Annual Sales:
Number of Years Involved with Product:
Percent of
Product Imported:

Claims History

Are you aware of any incidents, conditions, circumstances, defects, or suspected defects which may result in claims against you:
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Describe and Claims History:

Additional Comments or Questions
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Please click the "Submit Quote Request" button to send your quote request. No coverage is in effect until bound by an insurance carrier. This is a request for quotation only.

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