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We have been in the brokerage business for over 70 years providing both primary and alternative market solutions.
Submit Quote Information
Ready to get a customized quote from an experienced and knowledgeable insurance broker? Make sure you have all the required documents and email them to comp@pebrokerage.com.
Submission Guidelines
Please send us your submissions to comp@pebrokerage.com.
When submitting information for a quote, please include the following:
- Acord 125 and 130 Applications
- Supplemental Application
- Experience Modification Worksheet
- 5-Year Currently Valued Loss Runs
Supplemental Applications
Below is a full list of our supplemental applications to fill out and include in your submission:
- Water/Sewer Authority Workers’ Compensation Supplemental Application
- AmTrust Managed Risk Assessment Supplemental Application
- Municipality Workers’ Compensation Supplemental Application
- School District Risk Assessment Supplemental Application
- Automobile Dealer and Repair Shop Supplemental Application
Brokerage Agreement
Please review our brokerage agreement document in full for details.
Get Started Today
As an insurance broker, we are here to help you find the right coverage.
Request an Insurance Quote
As an independent agency, we are here to help you find the right coverage.
Request Information
It only takes a minute to get started.
- Fill out the form, we’ll be in touch.
- Go over your options with an agent.
- Get the coverage you need.