General Liability
For a quote for general liability fill-out this form and agent will contact you with a quote.
Email address *
Contact name and Company Name: *
Your answer
Describe Operations: *
e.g. Roofer, Tear-off Only, Plumber Commercial Only, Landscaping Mow and Blow etc.
Your answer
Total Years of Experience: *
How many years have you been at this trade?
Your answer
Gross Receipts: *
Whats the dollar about of total cost of materials, subcontract work, labor, and profits for a Year)
Your answer
Total Field Payroll: *
(Exclude owners, officers, salespersons, and clerical staff)
Your answer
percent you sub contract out to others: *
e.g. 0%, 20 % to roof subcontractors.
Your answer
Number of active owners performing hands-on construction work: *
Your answer
Percent of Commercial Work: *
Compared to Commercial Work totally 100%. e.g. 20% residental and 80% commercial.
Your answer
Percent of Residential Work: *
Compared to Commercial Work totally 100%. e.g. 20% residental and 80% commercial.
Your answer
New Ground Up Residential Work: *
If "Yes", Percent of New Ground Up Residential Work:
Your answer
New Tract-Homes?: *
Percent of Remodeling: *
Your answer
Percent of Service/Repair work: *
Your answer
Anything else you would like our agents to know about rating your general liability:
Your answer
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