Gene Morgan Insurance – Get a Farm Insurance Quote

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Representing Nationwide Agribusiness, the
#1 farm insurance carrier in the nation!

Please fill out the form and hit submit when all required fields are completed. One of our representatives will contact you as soon as possible. To choose another type of insurance quote, click here.

Farm Insurance Quote

*First Name:

*Last Name:

* Email:

*Phone #:

This phone # is:

Home

Work

Cell

Address:

City:

State:

Zipcode:

Applicant Info

First Name:

Last Name:

Business Name (If applicable):

Year business started:

Gross annual farming receipts:

Is farming main source of income?

Describe farm/ranch operations and
any incidental business activities:

Business website (if applicable):

Type of business: (drop down)

If other, please specify:

Type of farm:

If other, please specify:

Number of acres of crops (if applicable):

Property Details

Address 1:

Address 2:

City:

County:

State:

Zipcode:

Number of acres:

Year built:

Square footage:

Number of stories:

Dogs on premise?

Construction type:

Roofing material:

If other, please specify:

Age of roof:

Heat type:

Number of bathrooms:

Burglar alarm:

Yes

Fire alarm:

Yes

Smoke detectors:

Yes

Fire sprinklers:

Yes

Basement:

Yes

Garage type:

Garage size:

Swimming pool:

Yes

Farm Buildings and Structures

Building #1:

Description:

Type of construction:

Year built:

Roof type:

Roof Age:

Square footage:

Building value:

Building #2:

Description:

Type of construction:

Year built:

Roof type:

Roof Age:

Square footage:

Building value:

Are there more buildings needing coverage?

Yes

Farm Liability

Limit of liability:

Medical Payments to others?

Yes

Number of employees:

Annual payroll:

Livestock 1 type:

Number of Head:

Livestock 2 type:

Number of Head:

Livestock 3 type:

Number of Head:

If livestock is kept, are all
areas adequately fenced?

Yes

Own any horses?

Yes

Number:

Does applicant board, race,
breed, or rent horses?

Yes

Explain:

Recreational Motor Vehicle Coverage

Type of vehicle:

Year:

Make:

Model:

Serial or VIN:

Engine size CC’s:

Value:

Physical damage:

Yes

Off-premise liability:

Yes

Operator name:

Operator birth date:

Additional Info

Any claims last 3 years?

Yes

License # 0B29378

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