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Additional Quotes

Use the form below to request additional quotes, the express way.

"*" indicates required fields

Business Details

Company Name:*

Are you using a DBA (Doing Business As)?

Owner Name*

Phone Number:*

Email:*

Mailing Address:*

Street Address City State ZIP Code

Is Physical Address Same As Mailing Address?*

Yes

Physical Address:*

Street Address City State ZIP Code

Brief Description of Operations:

How many years of experience in the industry?

Website Address:

Do you have any insurance in force? If so, what lines?

Have you had any insurance for this business in the past? If so, what lines?

Number of Employees:

Estimated Annual Payroll for W-2 Employees, excluding Owners?:

Will you employ any 1099 employees?

Yes

How many 1099 employees?

What is your estimated annual gross sales for the next twelve months?

Do you work in construction?

Yes

Max height (interior and exterior)

Max depth

Residential, Commercial, Industrial (total 100%)

New vs Remodeling (total 100%

Any new work on Condos, tract homes, or townhomes? If so, what percentages of operations?

Any OCIP, CCIP, or wrap-up work? If so, what percentage of operations?

Any work at hospitals, airports, bridges?

Any mold, fire or water damage or hazardous materials?

Will you use any subcontractors in the next twelve months?

Yes

What is the estimated annual payroll?

Estimated annual cost for subcontractors:

What type of work are you subcontracting?

Do you have a contract in place with each of them?

Do you use a diary system for keeping certificates of insurance?

Do you or the business hold any license(s) or certification(s)?

Do you have any company vehicles? Any trailers?

Yes

If so, how are they currently insured?

Do you own or transport any equipment valued over $1,000 or totaling over $5,000?

Yes

If yes, is it insured?

Do you store any personal information of employees, vendors, or clients?

Do you take payments via credit card, electronic check, or automatic payments?

Are you required to carry any municipality bonds? (or contractor bonds if insured is a contractor)

Do you own any additional companies?

Yes

If so, names and operations

Are they currently insured?

Losses, claims, legal actions or suits against your company in the last five years?

Do you have any insurance requirements by contract?

Yes

If so, please provide a copy.

Call (800) 677-2905 from 8:30 am-5:30 pm EST, Monday-Friday or Request a Quote Today!

Call (800) 677-2905 from 8:30 am - 5:30 pm EST, Monday-Friday or Request a Quote Today!

* Most quotes are provided same day. However, quotes are subject to accuracy and depth of company information provided, loss ratios, and prior coverage.