Contractors Insurance Needs Survey

What state is your business located?

Select the trade, or trades you perform?

Company Name

First Name

Last Name

Address

City

Zipcode

Email Address

Phone Number

** Please select either Residential Work or Commercial Work, or you can select them both.

Do you perform any residential work? **

Do you perform any commercial work? **

Do you have employees?

Do you use a vehicle in your work, or do your employees, if any, use their own vehicle for their work?

Do you work on property with a value greater than $1,000,000?

Do you rent equipment or do your tools and equipment add up to more than $10,000?

Do you own or rent an office, warehouse, or yard facility other than your home?

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Are you a General Contractor that performs remodeling or additions, or new ground up construction for residential or commercial building?

Do you transport materials, and or store them at your facility or jobsite, with a value greater than $10,000?

Do you perform any of the following services: Design Build, architectural, engineering services or construction management for a fee?

Do directly or through your website collect any personal information from your customers; credit card information, phone number, address, checking account, driver’s license, social security, date of birth?

Do you store, transport, or use on the jobsite any pollutants?

Do you use subcontractors?

Contractors Insurance Needs Survey

Contractors’ Insurance Needs Survey