What’s covered?
General Liability protects the assets of your business when it’s sued for doing something that result in a customer’s bodily injury or property damage. Most Comprehensive General Liability policies cover your products and/or completed operations, personal and advertising Injury, Medical Payments. General Liability doesn’t cover your professional mistakes and can’t be substituted for Errors and Omission coverage.

Who needs it?
Absolutely any business owner should have General Liability. There are hundreds of possible lawsuits that could be brought up against your business and it’s extremely important to have this coverage. The usual policy limits are $1,000,000

Other Recommended Coverage:
You may want to purchase Business Owners policy or (BOP) which is a comprehensive package that includes General Liability and Business Property insurance. If you provide services to others or make recommendations, you may want to purchase Errors and Omission insurance. Call us today to discuss the protection you need.

General Contractor Questionnaire

Applicant’s Information

First Name: Last Name: Street/PO Box: City: State: Zip: Telephone: Email: Fax: Best way to Reach: --- Select item --- Home Phone Business Phone Email Website:

General Business Information

Business Name: Business Entity: --- Select item --- Individual Partnership Corporation Join Venture Subchapter S-Corp Not for profit org LLC Street: City: State: Zip: Phone: Contractor's License Years in business: Number of employees, including owners: Estimated percentage of a subcontracted work Estimated payroll for next year put 16,000 if owner is the only employee Estimated next year Subcontractor's Cost Estimated Gross Revenue for next year: New business: Yes No Tax Id: Brief Description of Business:

Business Specific Information:

General Contractor % Subcontractor % Owner/Builder % Indicate the percentage of construction work to be performed by you or on your behalf by subcontractors during next 12 months: Residential +Commercial/Industrial =100% New Residential Construction +Remodeling/Repair/Service =100% Inside Building +Outside Building =100% Has any of your work involved, or has at any time involved the construction of or for track homes, custom homes, condominiums, townhomes, townhouses, duplexes, triplexes, apartment or cooperatives? Yes No If yes, please state how many track homes, custom homes, condominiums, townhomes, townhouses, duplexes, triplexes, apartment or cooperatives do you build or planning to build in next 12 month? Have you build, are you currently or will you construct buildings in excess of two stories? Yes No Have you build, are you currently or will you construct buildings below grade? Yes No Have you or will you work as a construction manager on a fee bases? Yes No Describe last 3 significant projects (accounting for more then 10% of total revenue any one year) which you have performed during the past 5 years. Put None if it's a new venture Project Description Revenue: Project Description Revenue: Project Description Revenue: Indicate the anticipated percentage of construction work over next 12 months for: Blasting Concrete Demolition Drywall Excavation Masonry Plumbing Roofing I am going to 100 % subcontract the work above Yes No Do your written contract with your independent contractors require the independent contractor to maintain Commercial General Liability insurance including you as Additional Insured? Yes No Is property Coverage Desired? Yes No Content Coverage Desired

Previous Insurance History

Current Insurance: Yes No If yes: Insurance Company Premium paid last year: I had claims: Yes No Number of Additional insured: I need coverage: --- Select item --- ASAP Next Week Next Month I am shopping Do you need Commercial Auto Coverage? Yes No How did you hear about us?