Request a Quote

Get a quote from a company that serves other liked minded companies and open a policy.

Looking to obtain a policy from GovTechTM? Simply fill out the brief self-assessment form below so we can get a better picture of your exact needs. Upon receipt of your form submission, one of our agents will contact you to review all of your options, as well as annual liability savings potential.

Prefer to ask questions over the phone? Contact us today.


Company Information


General Information



Current Insurance Coverage

Do you currently have Professional Liability coverage?:
YesNoUnkown

Do you currently have General Liability coverage?
YesNoUnkown

Do you currently have Umbrella coverage?
YesNoUnkown

Do you currently have Directors & Officers coverage?
YesNoUnkown

Do you currently have EPLI coverage?
YesNoUnknown

Have you had any claims made in the past 5 years?
YesNo

I have read and agree to the Terms & Conditions

*This information request shall not be considered a solicitation or potential offer to provide insurance in any state in which GovTechTM has not registered to do business pursuant to the federal Liability Risk Retention Act (LRRA).