Interested in a Pricing Indication?

Please complete the form below to obtain a non-binding pricing indication for specialty insurance coverage. Ridge Canada offers specialty insurance through commercial insurance brokerages - all indications will be provided via the insurance broker contact entered below:

Please complete the form below

Note that the only required information are insurance broker details, business name and operations, annual revenue, # of PII records, and confirmation of incident + claim history.

General Information

Current Insurance Broker Name

Current Insurance Broker Email

Business Name

Business Type / Operations

Website

# of Employees

Total full-time and part-time employees

Annual Revenue (CAD)

Prior Incidents + Claims

Have their been any claims or circumstances that may lead to a claim against the firm or any individual of the firm involving the type of insurance being requested?

Yes

I don't know

Cyber Insurance

Are you looking to purchase Cyber Insurance?

Yes

# of Personally Identifiable Information (PII) Records

The Canadian Government defines personal information as any factual or subjective information, recorded or not, about an identifiable individual. This includes information in any form, such as: - age, name, ID numbers, income, ethnic origin, or blood type; - opinions, evaluations, comments, social status, or disciplinary actions; and - employee files, credit records, loan records, medical records, existence of a dispute between a consumer and a merchant, intentions (for example, to acquire goods or services, or change jobs).

Directors and Officers Insurance

Are you looking to purchase D&O Insurance?

Yes

Total Assets (CAD)