Fraud Blocker Skip to content
  • 297 NW 3rd St
    Prineville, OR 97754
  • Phone
    541-447-6372
  • Send Us
    a Message
  • Start
    Quote






  • 297 NW 3rd St
    Prineville, OR 97754
  • Phone
    541-447-6372
  • Send Us
    a Message
  • Start
    Quote






FINAL-Prineville-Insurance-1

  • About
    Us
    • Our Story
    • Blog
    • Breakdown of Coverages
    • Careers
    • Contact
    • FAQs
    • Glossary
    • In The Community
    • Privacy Policy
    • Refer Friends & Family
    • Wall of Love

  • Personal
    Insurance
    • Auto Insurance
    • Condo Insurance
    • Home Insurance
    • Home Warranty
    • Earthquake Insurance
    • Event Insurance
    • Flood Insurance
    • Motorcycle Insurance
    • Pet Insurance
    • Rental Properties
    • Renters Insurance
    • Umbrella Liability Insurance
    • Watercraft Insurance

  • Business
    Insurance
    • Policy Types
      • Business Owners Package
      • Business Property Insurance
      • Business Interruption Insurance
      • Commercial Auto Insurance
      • Commercial Umbrella Insurance
      • Cyber Liability
      • Directors and Officers Liability Insurance
      • Event Insurance
      • General Liability Insurance
      • Employment Practices Liability Insurance
      • Professional Liability insurance
      • Workers Compensation Insurance
    • Agribusiness / Farm
      • Pivot Insurance
      • Crop Insurance
      • Equine Insurance
      • Mortality Insurance
      • Farm Auto Insurance
      • Farm Dwelling Insurance
      • Farm Equipment Insurance
      • Farm Liability Insurance
      • Farm Livestock Insurance
      • Farm Owners Insurance
      • Farm Structures Insurance
      • Farm Umbrella Insurance
    • Cannabis Industry
      • Cannabis Landlord Coverage (Lessors Risk)
      • Cannabis Cultivation/Growers
      • Cannabis Processors
      • Cannabis Manufacturing
      • Cannabis Laboratories/Testing Facilities
      • Cannabis Retail Dispensaries Insurance
    • Small Business Specialties
      • Airplane Hangars Insurance
      • Airplane Storage Coverage
      • Audiology Centers Insurance
      • Brewery Insurance
      • Builder’s Risk/Course of Construction Insurance
      • Car Dealership Insurance
      • Construction Insurance
      • Counselor and Therapist Insurance
      • Electricians Insurance
      • Event Insurance
      • Gas Station Insurance
      • HVAC Insurance
      • Landscaping Insurance
      • Manufacturing Insurance
      • Medical Spa Insurance
      • Plumbers Insurance
      • Professional Services Insurance
      • Office Insurance
      • Retail Insurance
      • Winery Insurance
    • Spanish Language Specialties
      • Auto Body & Repair Insurance
      • Contractors Insurance
      • Landlord Insurance
      • Lessors Risk
      • Restaurant Insurance
      • Workers Compensation
    • Bonds
      • City/County street Opening, Obstruction, Excavation or Right of Way Bonds
      • Highway Use Tax
      • Landowners Water Well
      • Liquor (OLCC)
      • Construction & landscape Contractors License Bonds
      • Distillers (TTB)
      • Mortgage Brokers
      • Motorcycle/Snowmobile/ATV Dealers
      • Motor Vehicle Dealers
      • Public Works (BOLI)
      • Probate (Fiduciary) Bonds
    • Women-Owned Business

  • Life, Health
    & Benefits
    • Life Insurance
      • Annuities
      • Disability
      • Life Insurance
      • Long Term Care
      • Second-to-Die Insurance
      • Short Term Care
      • Term Life Insurance
      • Universal Life Insurance
      • Whole Life Insurance
    • Health Insurance
      • Individual Dental
      • Individual Disability
      • Individual Long-Term Care
      • Individual Medical
      • Individual Vision
      • Medicare Insurance
      • Medicare Advantage
      • Medicare Part D
      • Medigap Insurance
    • Employee Benefits
      • 401(k)
      • Critical Illness and Accident Insurance
      • Group Life
      • Group Dental
      • Group Health
      • Group Vision
      • Key Man Insurance
      • Long Term Care
      • MASA
      • Short Term Care
      • Simple IRA
      • Voluntary Life Insurance

  • Client
    Services
  • 297 NW 3rd St
    Prineville, OR 97754
  • Phone
    541-447-6372
  • Send Us
    a Message
  • Start
    Quote





  • About
    Us
    • Our Story
    • Blog
    • Breakdown of Coverages
    • Careers
    • Contact
    • FAQs
    • Glossary
    • In The Community
    • Privacy Policy
    • Refer Friends & Family
    • Wall of Love

  • Personal
    Insurance
    • Auto Insurance
    • Condo Insurance
    • Home Insurance
    • Home Warranty
    • Earthquake Insurance
    • Event Insurance
    • Flood Insurance
    • Motorcycle Insurance
    • Pet Insurance
    • Rental Properties
    • Renters Insurance
    • Umbrella Liability Insurance
    • Watercraft Insurance

  • Business
    Insurance
    • Policy Types
      • Business Owners Package
      • Business Property Insurance
      • Business Interruption Insurance
      • Commercial Auto Insurance
      • Commercial Umbrella Insurance
      • Cyber Liability
      • Directors and Officers Liability Insurance
      • Event Insurance
      • General Liability Insurance
      • Employment Practices Liability Insurance
      • Professional Liability insurance
      • Workers Compensation Insurance
    • Agribusiness / Farm
      • Pivot Insurance
      • Crop Insurance
      • Equine Insurance
      • Mortality Insurance
      • Farm Auto Insurance
      • Farm Dwelling Insurance
      • Farm Equipment Insurance
      • Farm Liability Insurance
      • Farm Livestock Insurance
      • Farm Owners Insurance
      • Farm Structures Insurance
      • Farm Umbrella Insurance
    • Cannabis Industry
      • Cannabis Landlord Coverage (Lessors Risk)
      • Cannabis Cultivation/Growers
      • Cannabis Processors
      • Cannabis Manufacturing
      • Cannabis Laboratories/Testing Facilities
      • Cannabis Retail Dispensaries Insurance
    • Small Business Specialties
      • Airplane Hangars Insurance
      • Airplane Storage Coverage
      • Audiology Centers Insurance
      • Brewery Insurance
      • Builder’s Risk/Course of Construction Insurance
      • Car Dealership Insurance
      • Construction Insurance
      • Counselor and Therapist Insurance
      • Electricians Insurance
      • Event Insurance
      • Gas Station Insurance
      • HVAC Insurance
      • Landscaping Insurance
      • Manufacturing Insurance
      • Medical Spa Insurance
      • Plumbers Insurance
      • Professional Services Insurance
      • Office Insurance
      • Retail Insurance
      • Winery Insurance
    • Spanish Language Specialties
      • Auto Body & Repair Insurance
      • Contractors Insurance
      • Landlord Insurance
      • Lessors Risk
      • Restaurant Insurance
      • Workers Compensation
    • Bonds
      • City/County street Opening, Obstruction, Excavation or Right of Way Bonds
      • Highway Use Tax
      • Landowners Water Well
      • Liquor (OLCC)
      • Construction & landscape Contractors License Bonds
      • Distillers (TTB)
      • Mortgage Brokers
      • Motorcycle/Snowmobile/ATV Dealers
      • Motor Vehicle Dealers
      • Public Works (BOLI)
      • Probate (Fiduciary) Bonds
    • Women-Owned Business

  • Life, Health
    & Benefits
    • Life Insurance
      • Annuities
      • Disability
      • Life Insurance
      • Long Term Care
      • Second-to-Die Insurance
      • Short Term Care
      • Term Life Insurance
      • Universal Life Insurance
      • Whole Life Insurance
    • Health Insurance
      • Individual Dental
      • Individual Disability
      • Individual Long-Term Care
      • Individual Medical
      • Individual Vision
      • Medicare Insurance
      • Medicare Advantage
      • Medicare Part D
      • Medigap Insurance
    • Employee Benefits
      • 401(k)
      • Critical Illness and Accident Insurance
      • Group Life
      • Group Dental
      • Group Health
      • Group Vision
      • Key Man Insurance
      • Long Term Care
      • MASA
      • Short Term Care
      • Simple IRA
      • Voluntary Life Insurance

  • Client
    Services
  • 297 NW 3rd St
    Prineville, OR 97754
  • Phone
    541-447-6372
  • Send Us
    a Message
  • Start
    Quote




WBTO Commercial Intake Form

Intake form specifically designed for use by WBTO and its subcontractors

MM slash DD slash YYYY
Name
Type
Mailing Address
Physical Locations
Please describe what your business does in detail.
MM slash DD slash YYYY
What states will you work in?

PERSONAL INFORMATION

Owner's name
Active?
MM slash DD slash YYYY
Owner's name
Active?
MM slash DD slash YYYY
Owner's name
Active?
MM slash DD slash YYYY
Ever declared bankruptcy?
Any lawsuits pending against you?

GENERAL LIABILITY

General Liability
Subcontractors used
Seasonal operations
Safety programs
List your gross sales for the last 3 years (Year)
New venture
Do you want business income coverage?

Prior Insurance

Prior Insurance
Have you ever been cancelled or non-renewed in the last three years?
Request:

WOULD YOU LIKE A QUOTE FOR:

Business Auto
Property
Equipment & Tools
Work Comp
General Liability
Professional Liability
Employee Benefits
Umbrella/excess
Enviro/Pollution
Bond
CYBER
EPLI
INLAND MARINE - BUSINESS EQUIPMENT & TOOL COVERAGE - off premises coverage
BUSINESS PERSONAL PROPERTY EQUIPMENT & TOOL COVERAGE - on premises only

List equipment Valued over $1000 per item

Year
Make & Model
Serial #
Value $$
Coverage desired for owners?
Do any employees predominantly work at home?
Business Auto
Hired/Non owned
Personal Auto Insurance
Driver other car coverage
Designated name insured
Driver
DOB
SSN
DL # and State
Tickets/Accidents

Vehicle Information

Year
Make & Model
VIN
Current Value $
Radius of operation
Special equipment attached to any vechile?
Which vehicle?
Type of equipment
Value $$
Included in vehicle value?

Building coverage

Building #1 Location
Construction

Year of updates

Burglar Alarm
Fire Alarm
Sprinklers
Building #2?
Location
Construction 2

Year of Updates

Burglar Alarm
Fire Alarm
Sprinklers

Professional Liability

Do you have Prof Liability?
MM slash DD slash YYYY
Current limits

Enviromental/Pollution

Do you have Enviro/Pollution Liability?
MM slash DD slash YYYY
Current limits

Umbrella/excess

Do you have Umbrella/Excess?
MM slash DD slash YYYY
Current limits
Recreational Toys

EPLI

Do you have EPLI?
MM slash DD slash YYYY
Current limits

Employee Benefits Liability

Do you have Employee Benefits Liability?
MM slash DD slash YYYY
Current limits

Cyber Liability

Do you have Cyber Liability?
MM slash DD slash YYYY
Current limits

Our agencies have been built by licensed individuals that live and work locally. Our team has been finding solutions in ten states for businesses and individuals for over 89 years. We are proud to be a diverse group of insurance professionals that can help protect most any line of insurance you need.

With over one hundred carriers, we can tailor coverage to your specific needs. We give options to suit our client’s comfort level. Come in and sit down in our offices, call, if you prefer to use our automated options, we strive to make business easy with us. We know our clients are busy and we want to make your insurance experience as stress free as possible. You deserve to know what you are paying for, and our team will take the time to explain your coverage and what it does for you when you need it.

FINAL-Prineville-Insurance-1-1

Our team is growing!

Apply for open roles today!

Apply now!

Get Started With Prineville Insurance Agency

Our team is one click or call away from helping you, your family, or your business with an insurance experience you'll actually enjoy.

Call Us Today!

541-447-6372

Start My Quote

Main Agency Phone

541-447-6372

Address

297 NW 3rd St
Prineville, OR 97754

Please Write Us a Google Review!

Record a Video Testimonial

Follow Us

Currently Licensed In

Alabama, Arizona, California, Colorado, Georgia, Idaho, Nevada, Oregon, South Dakota, Texas, Utah, and Washington

License # 0L89671

IP-Logo-removebg-preview (1)
trusted-choice-big-removebg-preview (1)
GRA-Logo-Wht__1_-removebg-preview
BIgI_NavLogo_lg
1617728937488-150x150-removebg-preview

© 2025 Prineville Insurance. All Rights Reserved.

Made with  in Indianapolis by Awesurance.

Lorem Ipsum