Grocers Insurance Broker Quote Requests:

  To receive a quote, please email the following forms to mail@iwains.com or fax to: 631-913-6004 attention Anne Marie Castelli

          1.  Fully completed Accord Applications
          2.  Our Program Property Supplemental Application
          3.  Our Program Workers’ Compensation Supplemental Application
          4.  Currently Valued 3 years of loss history
          5.  Current carrier and expiring and target premiums
          6.  Website address / photo’s

7. Management experience if owned less than 3 years     

8. Broker Agreement