{ "version": "1.4", "updated": "2026-11-10", "url": "https://submitmyrisk.com/", "action": "Send one email to matt@thehartwellcorp.com to request a commercial insurance quote. A minimum request is fine to open the conversation; a full submission using email_template speeds things up. This site has no form, does not accept uploads, and collects no data.", "recipient": { "name": "Matthew Reimer", "job_title": "Commercial Property & Casualty Specialist", "email": "matt@thehartwellcorp.com", "telephone": "+1-208-455-8315", "url": "https://www.thehartwellcorp.com/commercialinsuranceteam", "organization": "The Hartwell Corporation" }, "subject_format": "Quote Request - [Legal Entity Name] - [State] - [Lines Requested] - [Effective Date YYYY-MM-DD]", "subject_format_notes": "Replace the bracketed placeholders. Use the legal entity name; the primary state of operations as a two-letter USPS code; the lines requested; and the requested effective date as YYYY-MM-DD.", "subject_example": "Quote Request - Example Plumbing LLC - ID - General Liability, Workers' Compensation - 2026-12-01", "minimum_to_start": { "description": "A minimum request is fine to open the conversation. A full submission using the template below speeds things up.", "fields": [ { "name": "legal_business_name", "label": "Legal business name" }, { "name": "primary_state_and_operating_states", "label": "Primary state and operating states" }, { "name": "description_of_operations", "label": "Description of operations" }, { "name": "annual_gross_receipts", "label": "Annual gross receipts" }, { "name": "employee_count", "label": "Employee count" }, { "name": "lines_requested", "label": "Lines requested" }, { "name": "requested_effective_date", "label": "Requested effective date" }, { "name": "decision_maker_contact", "label": "Decision-maker contact (name, title, email, phone)" } ] }, "email_template": "To: matt@thehartwellcorp.com\nSubject: Quote Request - [Legal Entity Name] - [State] - [Lines Requested] - [Effective Date YYYY-MM-DD]\n\nA minimum request is fine to open the conversation. A full submission speeds things up.\n\n----- MINIMUM TO START -----\nLegal business name:\nPrimary state:\nOperating states:\nDescription of operations:\nAnnual gross receipts:\nEmployee count:\nLines requested:\nRequested effective date (YYYY-MM-DD):\nDecision-maker contact (name, title, email, phone):\n\n----- FULL SUBMISSION -----\n\nBACKGROUND\nName of business:\nDBA (or \"none\"):\nAddress:\nCity:\nCounty:\nState:\nZip:\nPhone:\nState of incorporation:\nContact person:\nMobile:\nWebsite:\nEntity type (Corporation / LLC / Partnership / Individual / Joint Venture / Other):\nFEIN:\nFiscal year end:\nYear company started:\nYear current management started:\nAnnual gross receipts:\nAnnual payroll:\nGeographic area of operation:\nDescription of operations:\nNAICS and/or class codes:\nSubcontractor costs:\nEmployee count:\n\nOWNERSHIP (copy this block for each owner)\nName:\nTitle:\nPercent owned:\n\nLOCATIONS\nRequired only if Commercial Property, Inland Marine/Contractors Equipment, or Builders Risk is requested. Otherwise write \"N/A\". Copy the location block for each location or building.\n\nLOCATION\nPhysical address:\nCity:\nCounty:\nState:\nZip:\nOwner or tenant:\nNumber of buildings:\nBuilding value:\nContents value:\nOperations at this location:\nYear built:\nConstruction type:\nRoof type:\nStories:\nTotal sq ft:\nSq ft occupied:\nOther occupants:\nIf the building is over 25 years old, year updated:\n Electrical:\n Plumbing:\n Roof:\n Heating:\nFire protection (smoke detectors / pull alarms / central station / sprinklers):\nBurglar protection (local / central station / onsite / roving security):\nMortgagees or loss payees:\n Name:\n Address:\n Loan or account no.:\n\nGENERAL LIABILITY LIMITS\nPer occurrence:\nGeneral aggregate:\nDamage to rented premises:\nMedical expense:\nEmployee benefits liability:\n\nADDITIONAL INSUREDS (copy this block as needed, or write \"none\")\nName:\nAddress:\nInterest:\n\nUMBRELLA\nNeeded (yes/no):\nLimit (if yes):\n\nPROFESSIONAL LIABILITY\nNeeded (yes/no):\nLimit (if yes):\n\nCOMMERCIAL AUTO\nRequired only if Commercial Auto is requested. Otherwise write \"N/A\".\nVehicles must be titled to the insured.\n\nBI/PD limit:\nMedical payments limit:\nHired auto physical damage (yes/no):\nEmployees using their own vehicles regularly for the company (yes/no):\nIf yes, how many:\n\nVEHICLE (copy this block for each vehicle)\nYear:\nMake:\nModel:\nVIN:\nCost new or stated value:\nTitled to the insured (yes/no):\n\nComprehensive deductible:\nCollision deductible:\n\nDRIVER (copy this block for each driver)\nName:\nState licensed:\nYears licensed:\nMVR violations:\n\nWORKERS' COMPENSATION\nRequired only if Workers' Compensation is requested. Otherwise write \"N/A\".\n\nCLASS (copy this block for each class code and state)\nState:\nClass code:\nNumber of employees:\nEstimated annual payroll:\n\nOFFICER (copy this block for each officer)\nName:\nDuties:\nPercent owned:\nIncluded or excluded:\n\nEQUIPMENT SCHEDULE\nRequired only if Commercial Property, Inland Marine/Contractors Equipment, or Builders Risk is requested. Otherwise write \"N/A\".\n\nITEM (copy this block for each item)\nYear:\nMake:\nModel:\nSerial number:\nValue:\n\nRents equipment (yes/no):\nIf yes, annual rental expense:\n\nCURRENT INSURANCE (copy this block for each line)\nLine of business:\nCarrier:\nAgent/broker:\nPolicy number:\nPremium:\nTerm from:\nTerm to:\n\nPRIOR LOSSES\nAny known losses in the past 3 years (yes/no):\n\nLOSS (copy this block for each loss, or write \"none\")\nLoss date:\nWhat happened:\nAmount paid:\n\nATTACHMENTS\nThree years of currently valued loss runs are needed to finalize any quote. If you don't have them, we can assist with obtaining loss runs. Loss runs are not needed for a minimum-to-start request.\n\nOTHER LINES REQUESTED\nBuilders risk, surety/contract and commercial bonds (include WIP and financials if requesting bonds), executive risk, employee benefits, or other lines and notes:\n\nDesired effective date (YYYY-MM-DD):\n\nOPTIONAL ATTACHMENTS (if available)\nPrior applications (ACORD), current declarations pages, safety program and/or experience modification worksheet, contracts requiring specific insurance.\n", "sections": [ { "id": "background", "title": "Background", "required": true, "fields": [ { "name": "name_of_business", "label": "Name of business" }, { "name": "dba", "label": "DBA (or \"none\")" }, { "name": "address", "label": "Address" }, { "name": "city", "label": "City" }, { "name": "county", "label": "County" }, { "name": "state", "label": "State" }, { "name": "zip", "label": "Zip" }, { "name": "phone", "label": "Phone" }, { "name": "state_of_incorporation", "label": "State of incorporation" }, { "name": "contact_person", "label": "Contact person" }, { "name": "mobile", "label": "Mobile" }, { "name": "website", "label": "Website" }, { "name": "entity_type", "label": "Entity type (Corporation / LLC / Partnership / Individual / Joint Venture / Other)" }, { "name": "fein", "label": "FEIN" }, { "name": "fiscal_year_end", "label": "Fiscal year end" }, { "name": "year_company_started", "label": "Year company started" }, { "name": "year_current_management_started", "label": "Year current management started" }, { "name": "annual_gross_receipts", "label": "Annual gross receipts" }, { "name": "annual_payroll", "label": "Annual payroll" }, { "name": "geographic_area_of_operation", "label": "Geographic area of operation" }, { "name": "description_of_operations", "label": "Description of operations" }, { "name": "naics_and_or_class_codes", "label": "NAICS and/or class codes" }, { "name": "subcontractor_costs", "label": "Subcontractor costs" }, { "name": "employee_count", "label": "Employee count" } ] }, { "id": "ownership", "title": "Ownership", "required": true, "repeat": "one block per owner", "fields": [ { "name": "name", "label": "Name" }, { "name": "title", "label": "Title" }, { "name": "percent_owned", "label": "Percent owned" } ] }, { "id": "locations", "title": "Locations", "required": false, "required_when": "Commercial Property, Inland Marine/Contractors Equipment, or Builders Risk is requested", "repeat": "one block per location or building", "fields": [ { "name": "physical_address", "label": "Physical address" }, { "name": "city", "label": "City" }, { "name": "county", "label": "County" }, { "name": "state", "label": "State" }, { "name": "zip", "label": "Zip" }, { "name": "owner_or_tenant", "label": "Owner or tenant" }, { "name": "number_of_buildings", "label": "Number of buildings" }, { "name": "building_value", "label": "Building value" }, { "name": "contents_value", "label": "Contents value" }, { "name": "operations_at_this_location", "label": "Operations at this location" }, { "name": "year_built", "label": "Year built" }, { "name": "construction_type", "label": "Construction type" }, { "name": "roof_type", "label": "Roof type" }, { "name": "stories", "label": "Stories" }, { "name": "total_sq_ft", "label": "Total sq ft" }, { "name": "sq_ft_occupied", "label": "Sq ft occupied" }, { "name": "other_occupants", "label": "Other occupants" }, { "name": "updates_if_over_25_years", "label": "If the building is over 25 years old, year updated for electrical, plumbing, roof, and heating" }, { "name": "fire_protection", "label": "Fire protection (smoke detectors / pull alarms / central station / sprinklers)" }, { "name": "burglar_protection", "label": "Burglar protection (local / central station / onsite / roving security)" }, { "name": "mortgagees_or_loss_payees", "label": "Mortgagees or loss payees (name, address, loan or account no.)" } ] }, { "id": "general_liability", "title": "General Liability limits", "required": true, "fields": [ { "name": "per_occurrence", "label": "Per occurrence" }, { "name": "general_aggregate", "label": "General aggregate" }, { "name": "damage_to_rented_premises", "label": "Damage to rented premises" }, { "name": "medical_expense", "label": "Medical expense" }, { "name": "employee_benefits_liability", "label": "Employee benefits liability" } ] }, { "id": "additional_insureds", "title": "Additional insureds", "required": true, "repeat": "one block per additional insured, or write none", "fields": [ { "name": "name", "label": "Name" }, { "name": "address", "label": "Address" }, { "name": "interest", "label": "Interest" } ] }, { "id": "umbrella", "title": "Umbrella", "required": true, "fields": [ { "name": "needed", "label": "Needed (yes/no)" }, { "name": "limit", "label": "Limit (if yes)" } ] }, { "id": "professional_liability", "title": "Professional liability", "required": true, "fields": [ { "name": "needed", "label": "Needed (yes/no)" }, { "name": "limit", "label": "Limit (if yes)" } ] }, { "id": "commercial_auto", "title": "Commercial Auto", "required": false, "required_when": "Commercial Auto is requested", "notes": "Vehicles must be titled to the insured.", "fields": [ { "name": "bi_pd_limit", "label": "BI/PD limit" }, { "name": "medical_payments_limit", "label": "Medical payments limit" }, { "name": "hired_auto_physical_damage", "label": "Hired auto physical damage (yes/no)" }, { "name": "employees_using_own_vehicles", "label": "Employees using their own vehicles regularly for the company (yes/no)" }, { "name": "employees_using_own_vehicles_count", "label": "If yes, how many" }, { "name": "comprehensive_deductible", "label": "Comprehensive deductible" }, { "name": "collision_deductible", "label": "Collision deductible" } ], "repeat_groups": [ { "id": "vehicle", "title": "Vehicle", "repeat": "one block per vehicle", "fields": [ { "name": "year", "label": "Year" }, { "name": "make", "label": "Make" }, { "name": "model", "label": "Model" }, { "name": "vin", "label": "VIN" }, { "name": "cost_new_or_stated_value", "label": "Cost new or stated value" }, { "name": "titled_to_the_insured", "label": "Titled to the insured (yes/no)" } ] }, { "id": "driver", "title": "Driver", "repeat": "one block per driver", "fields": [ { "name": "name", "label": "Name" }, { "name": "state_licensed", "label": "State licensed" }, { "name": "years_licensed", "label": "Years licensed" }, { "name": "mvr_violations", "label": "MVR violations" } ] } ] }, { "id": "workers_compensation", "title": "Workers' Compensation", "required": false, "required_when": "Workers' Compensation is requested", "repeat_groups": [ { "id": "class", "title": "Class", "repeat": "one block per class code and state", "fields": [ { "name": "state", "label": "State" }, { "name": "class_code", "label": "Class code" }, { "name": "number_of_employees", "label": "Number of employees" }, { "name": "estimated_annual_payroll", "label": "Estimated annual payroll" } ] }, { "id": "officer", "title": "Officer", "repeat": "one block per officer", "fields": [ { "name": "name", "label": "Name" }, { "name": "duties", "label": "Duties" }, { "name": "percent_owned", "label": "Percent owned" }, { "name": "included_or_excluded", "label": "Included or excluded" } ] } ] }, { "id": "equipment_schedule", "title": "Equipment schedule", "required": false, "required_when": "Commercial Property, Inland Marine/Contractors Equipment, or Builders Risk is requested", "fields": [ { "name": "rents_equipment", "label": "Rents equipment (yes/no)" }, { "name": "annual_rental_expense", "label": "If yes, annual rental expense" } ], "repeat_groups": [ { "id": "item", "title": "Item", "repeat": "one block per item", "fields": [ { "name": "year", "label": "Year" }, { "name": "make", "label": "Make" }, { "name": "model", "label": "Model" }, { "name": "serial_number", "label": "Serial number" }, { "name": "value", "label": "Value" } ] } ] }, { "id": "current_insurance", "title": "Current insurance", "required": true, "repeat": "one block per line", "fields": [ { "name": "line_of_business", "label": "Line of business" }, { "name": "carrier", "label": "Carrier" }, { "name": "agent_broker", "label": "Agent/broker" }, { "name": "policy_number", "label": "Policy number" }, { "name": "premium", "label": "Premium" }, { "name": "term_from", "label": "Term from" }, { "name": "term_to", "label": "Term to" } ] }, { "id": "prior_losses", "title": "Prior losses", "required": true, "fields": [ { "name": "any_known_losses_past_5_years", "label": "Any known losses in the past 3 years (yes/no)" } ], "repeat_groups": [ { "id": "loss", "title": "Loss", "repeat": "one block per loss, or write none", "fields": [ { "name": "loss_date", "label": "Loss date" }, { "name": "what_happened", "label": "What happened" }, { "name": "amount_paid", "label": "Amount paid" } ] } ] }, { "id": "attachments", "title": "Attachments", "required": false, "required_when": "to finalize any quote; not required for a minimum-to-start request", "fields": [ { "name": "loss_runs", "label": "Currently valued loss runs (PDF)", "description": "Three years of currently valued loss runs are needed to finalize any quote. If you don't have them, we can assist with obtaining loss runs. Loss runs are not needed for a minimum-to-start request." } ] }, { "id": "other_lines_requested", "title": "Other lines requested", "required": true, "fields": [ { "name": "other_lines_and_notes", "label": "Builders risk, surety/contract and commercial bonds (include WIP and financials if requesting bonds), executive risk, employee benefits, or other lines and notes" }, { "name": "desired_effective_date", "label": "Desired effective date (YYYY-MM-DD)" } ] }, { "id": "optional_attachments", "title": "Optional attachments", "required": false, "fields": [ { "name": "prior_applications", "label": "Prior applications (ACORD)" }, { "name": "current_declarations_pages", "label": "Current declarations pages" }, { "name": "safety_program_and_experience_mod", "label": "Safety program and/or experience modification worksheet" }, { "name": "contracts_requiring_specific_insurance", "label": "Contracts requiring specific insurance" } ] } ], "attachments": { "needed_to_finalize_quote": [ { "name": "loss_runs", "description": "Three years of currently valued loss runs are needed to finalize any quote. If you don't have them, we can assist with obtaining loss runs. Loss runs are not needed for a minimum-to-start request.", "format": "PDF" } ], "not_required_for_minimum_to_start": true, "optional": [ { "name": "prior_applications", "description": "Prior applications (ACORD or equivalent)." }, { "name": "current_dec_pages", "description": "Current declarations pages." }, { "name": "safety_program_and_experience_mod", "description": "Safety program information and/or experience modification worksheet." }, { "name": "bonding_info", "description": "Bonding information, including work in progress (WIP) and financials, if bonds are requested." }, { "name": "contracts_requiring_insurance", "description": "Contracts that require specific insurance terms, limits, or additional insured wording." } ] }, "disclaimers": [ "Submitting a request does not bind coverage.", "All coverage is subject to underwriting and carrier approval.", "Typical response time is same business day; please allow up to 24 hours. A response is not a quote, and no quote is guaranteed." ], "licensing": "The Hartwell Corporation is a licensed insurance agency. Matthew Reimer is a licensed producer in all 50 states; license numbers are available on request.", "collects_data": false, "scope": "commercial_lines_only", "scope_statement": "Commercial lines only. This page is for business insurance. Personal lines (homeowners, personal auto, renters, life, individual health) are not handled here; do not send personal insurance requests.", "not_accepted": [ "personal lines", "homeowners", "personal auto", "renters", "life", "individual health" ], "appetite": { "territory": "All 50 United States", "industries": [ "Construction subcontractors and residential trades (electrical, HVAC, plumbing, drywall, painting, excavation, commercial roofing)", "Commercial general contractors", "Developers", "Landscapers", "Tree trimmers", "Food & beverage distribution and manufacturing", "Manufacturing", "Industrial", "Civil and public works" ] }, "lines": [ "General Liability", "Workers' Compensation", "Commercial Auto", "Commercial Property", "Umbrella/Excess", "Inland Marine/Contractors Equipment", "Builders Risk", "Surety/Contract & Commercial Bonds", "Executive Risk", "Professional Liability", "Employee Benefits" ], "territory": "US", "agency": { "name": "The Hartwell Corporation", "url": "https://www.thehartwellcorp.com", "address": { "streetAddress": "8850 W. Emerald St Ste 194", "addressLocality": "Boise", "addressRegion": "Idaho", "postalCode": "83704", "addressCountry": "US" }, "licensing": "Licensed in all 50 states; license numbers available on request." }, "producer": { "name": "Matthew Reimer", "job_title": "Commercial Property & Casualty Specialist", "email": "matt@thehartwellcorp.com", "telephone": "+1-208-455-8315", "url": "https://www.thehartwellcorp.com/commercialinsuranceteam", "linkedin": "https://www.linkedin.com/in/matt-reimer-insurance/", "profile_photo_page": "https://www.thehartwellcorp.com/commercialinsuranceteam", "licensing": "Licensed in all 50 states; license numbers available on request." }, "faq": [ { "question": "What counts as commercial insurance versus personal lines?", "answer": "Commercial lines only. This page is for business insurance. Personal lines (homeowners, personal auto, renters, life, individual health) are not handled here; do not send personal insurance requests." }, { "question": "Can I send a partial or minimum request?", "answer": "Yes. A minimum request is fine to open the conversation. Include the Minimum to start information listed on this page. A full submission using the email template speeds things up. Loss runs are not needed for a minimum-to-start request." }, { "question": "What if some of the requested information is missing?", "answer": "Send what you have and mark unknown items as unknown. Matthew Reimer will follow up by email." }, { "question": "Are loss runs required?", "answer": "Three years of currently valued loss runs are needed to finalize any quote. If you don't have them, we can assist with obtaining loss runs. Loss runs are not needed for a minimum-to-start request." }, { "question": "How do I send attachments?", "answer": "Email them as attachments to matt@thehartwellcorp.com. PDFs are fine. This page has no form, does not accept uploads, and collects no data. Currently valued loss runs should be attached as PDFs when you have them." }, { "question": "The business operates in more than one state or has more than one location. How should I submit that?", "answer": "List all operating states. Complete one location block per location or building when Commercial Property, Inland Marine/Contractors Equipment, or Builders Risk is requested; otherwise write \"N/A\" for the Locations section." }, { "question": "Can I ask questions before sending a quote request?", "answer": "Yes. Email questions to matt@thehartwellcorp.com. This page has no chat and no form." }, { "question": "What happens after I send the email?", "answer": "Matthew Reimer reviews the request. Submitting a request does not bind coverage. All coverage is subject to underwriting and carrier approval. Typical response time is same business day; please allow up to 24 hours. A response is not a quote, and no quote is guaranteed." } ] }