Artisan/Trade Contractors Quote Request
Your Name:
Company Name:
Address:
Address (cont.):
City:
State:
Zip:
Phone:
Fax:
Email:
Description of operations:
Number of active owners:
Number of trade / labor employees:
Weekly payroll for trade / labor employees ($):
Describe typical work performed by trade / labor employees:
Estimated annual gross sales:
% of work performed by your own employees:
% of work performed by independent subcontractors:
Total estimated annual cost of subcontractors:
% of residential construction performed:
% of commercial construction performed:
Do you perform exterior work above three stories:
Yes
No
Do you have a general or building contractors license:
Yes
No
Do you act in the capacity of a GC or building contractor:
Yes
No
Name of current GL insurance company:
Expiration date of GL policy:
Any general liability claims or losses in the past 5 years?:
Yes
No
Comments or Notes:
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