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General Liability
For a quote for general liability fill-out this form and agent will contact you with a quote.
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Email
*
Your email
Contractor License #:
Your answer
Describe Operations:
*
e.g. Roofer, Tear-off Only, Plumber Commercial Only, Landscaping Mow and Blow etc.
Your answer
Total Years of Experience:
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How many years have you been at this trade?
Your answer
Gross Receipts:
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Whats the dollar about of total cost of materials, subcontract work, labor, and profits for a Year)
Your answer
Total Field Payroll:
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(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:
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Your answer
Percent of Commercial Work:
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Compared to Commercial Work totally 100%. e.g. 20% residental and 80% commercial.
Your answer
Percent of Residential Work:
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Compared to Commercial Work totally 100%. e.g. 20% residental and 80% commercial.
Your answer
New Ground Up Residential Work:
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Yes
No
If "Yes", Percent of New Ground Up Residential Work:
Your answer
New Tract-Homes?:
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Yes
No
Percent of Remodeling:
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Your answer
Percent of Service/Repair work:
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Your answer
Best Contact #:
*
Your answer
Contact name and Company Name:
*
Your answer
Anything else you would like our agents to know about rating your general liability:
Your answer
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