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General Contractor/Artisan Contractor Quote


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

First Name
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Last Name
Required
Company Name (include entity type)
Required
Mailing Address
Required
City
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State
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ZIP / Postal Code
Required
Physical Location (if different)
Optional
Phone Number
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E-Mail Address
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Time in Business
Required
Years' Experience
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Radius of operations from main location
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States worked in
Required
Payroll of owners, officers, and partners active at job sites or performing supervisory duties
Required
Payroll of employees other than owners, officers, partners, and clerical
Required
Cost of leased, temporary, staffing service, casual labor (if not included above)
Required
Total Payroll
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Do you employ any licensed architects, surveyors, engineers, Real Estate agents or brokers?
Required
Do you have any prior or planned jobs covered under "wrap up" or OCP policies?
Required
Describe your 3 largest projects currently underway or planned for the next year (include start/end date, value, and brief description)
Required
Describe your 4 largest projects over the past five years (include year completed, value, and brief description)
Required
Have you had any losses over the last 5 years?
Required
SUBCONTRACTORS
Do you obtain Cert. of Insurance for GL and WC from all subcontractors?
Required
What are the minimum GL limits you require?
Optional
Are written contracts obtained from all subs?
Required
Do you normally use the same subcontractors?
Required
What percentage of work do you sub out?
Required
What percentage of subcontractors utilized are insured?
Optional
Submission Validation
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

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