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Contractor Commercial Insurance

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This is not an instant quote website; our prices are too low to list online. Please fill out the quote form to obtain a Contractor Commercial insurance quote, and an insurance specialist will contact you shortly. Please understand this is not an application for insurance. An application will be sent to you if coverage is desired.

Proper Protection Fact Finding Questions

Of the following, what is the primary reason for quote request?	Requesting More Information Required Replace Investment Liability Protection

In the order of importance, what is most important to you?	Price Service Proper Coverage

Approximately when was the last time you did a review with your agent?	Within the year Over 2 years ago Over 5 years ago Never

Would you be interested in going to higher deductibles to reduce your premium?	Yes No

In the event of a lawsuit, accident, or judgment would you want to:	Maximize Protection Assume Some Risk

In the event of an untimely death, is it important to you that you're surviving spouse and/or children maintain the quality of life you currently have together without debt?	Yes No

Would you be interested in combining your commercial insurance for additional savings?	Yes No

If health insurance is provided for employees, would you like to save money?	Yes No Requesting More Information

Has your current company/agent failed to meet your expectations in any way?	Yes No

Contact Information

What else must I do to earn your business?

Contact Name

Business Name

Address

City

State

Zip Code

Business Phone Number

Primary Phone Number To Reach You

Fax

Email *

Contact Me During?

Insurance Information

Current Insurance Company

Current Policy Expiry

Current Amount Coverage

Liability Limit

Number of Years Insured

Losses and Claims for the Last 5 years

If yes, what is the date, amount paid and description of each loss or claim?

Business Information

Number of Owners

Number of Employees

Payroll of Owners

Payroll of Employees

Rent or Own Office

Annual Gross Receipts

Total Annual Sub Costs

Classification

Contractors License Number

License Type

Years Operated Under Current Name

Other Business Names

Construction or Remodeling:

Do you construct footings or foundations which may support dwellings or other structures?

Do you construct slab or monolithic floors?

Do you construct piers or underpinning which may support dwellings or other structures?

Do you construct retaining walls which may support dwellings or other structures?

Do you construct fireplaces or chimneys?

What is the percentage of work done as a General Contractor?

What is the percentage of work done as a Sub-Contractor?

What is the percentage of work done on Residential?

What is the percentage of work done on Commercial?

What is the percentage of work done for Remodeling?

What is the percentage of work done for Renovation?

What is the percentage of work done for Repair or Maintenance?

Any Additional Information