Contractor's renewal questionnaire

Your Company's Legal Entity Name (Corp, Inc, LLC, LLP, etc) *

Business name (if different than entity name) *

Business Mailing Address (if different)

Primary Phone Number *

Alternate Phone Number

Describe your business in detail *

What has changed from your previous operations; have you added or eliminated any services or scope of work? Be as detailed as possible. *

Names of all additional owners/partners *

Projected gross annual sales for the next 12 months *

Estimated payment to subcontractors for the next 12 months *

Types of Sub-Contractors you use

Concrete
Electrical
Framing
Gas Lines
Insulation
Masonry
Mechanical
Plumbing
Roofing
Soil/Dirt work
Waterproofing
Other
None

Other Sub-Contractors used

Number of Full-Time employees (do not include owners or clerical staff) *

Number of Part-Time employees (do not include owners or clerical staff) *

Your estimated employee payroll for next 12 months (do not include owners payroll or clerical staff)) *

Your largest 3 jobs in the last year (include scope of the work and estimated gross revenue from the project) *

Any work on new construction projects? *

What percentage of your work is new construction? *

Any work on condos, townhomes, apartments? *

Residential vs Commercial Percentage *

I am also interested in a quote for:

Business Auto Insurance
Tools/Equipment Coverage
Home or Renters Insurance
Personal Auto Insurance
Boat/Watercraft/RV/ATV
Personal Umbrella
Life Insurance
Other

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.

Per the terms of our online privacy policy we will not resell your information to any third-party.