Jim Lively Insurance
Jim Lively Insurance
When you're serious about insurance
Proudly serving all of
West Virginia with offices
located in...

Jim Lively Jr. - President

Free Online Business Quote

General Information
City: State: ZIP:
County: Email:
Phone Day: ( ) - Night: ( ) -
Best time to call:

Current Insurance Company (not agency):
Company Name:
Policy Exp. Date:
What type of coverages do you currently have:
Commercial Auto
Commercial Liability
Commercial Property
Commercial Umbrella
Directors & Officers Liability
Group Health
Group Life
Professional Liability
Workers' Compensation

About Your Business
# of full-time employees # of part-time employees How long in business How many locations Annual Sales
yrs. $

Please give a brief description of your business and cliental:

531 Jones Avenue
PO Box 1633
Oak Hill WV 25901

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1-800-678-7842 | insurance@jimlively.com
2016 Jim Lively Insurance