• Contractor Application

  • Applicant Information

  •  -
  • Is this a premise only policy?

  • Description of Operations:

  • Type of Work Performed

  • Continued

    Work Performed
  • Will you perform or subcontract any roofing operations, work on the roof or deck work on roofs?
  • Will you perform any waterproofing?
  • Do you use motorized or heavy equipment in any of your operations?
  • Will you perform work in new tract home developments of 25 or more units?
  • Will any of your work involve the construction of or be for new condominiums/townhouses/multi-unit residences?
  • Will you perform repair only for individual unit owners of condominiums/townhouses/multi-unit residences?
  • Will you perform OCIP (Wrap-up) work?
  • Will you or do you perform or subcontract any work involving the following: blasting operations, hazardous waste, asbestos, mold, PCBs, medical facilities (including new construction), hospitals (including new construction), churches or other house of worship, museums, historic buildings, oil fields, dams/levees, bridges, quarries, airports, railroads, earthquake retrofitting, schools/playgrounds/recreational facilities (including new construction), fuel tanks, pipelines, or foundation repair?
  • Will you perform work (new/remodel) on single family residences, in which the dwelling exceeds 5,000 square feet?
  • Will you perform work on commercial buildings over 20,000 square feet?
  • Has any licensing authority taken any action against you, your company or any affiliates?
  • Have you allowed or will you allow your license to be used by any other contractor?
  • Has the applicant or business owner ever had any judgements or liens filed against them or filed for bankruptcy?
  • Has any lawsuit ever been filed or any claim otherwise been made against your company (including any partnership or any joint venture of which you have been a member of, any of your company's predecessors, or any person, company or entities on whose behalf your company has assumed liability?
  • Is your company aware of any facts, circumstances, incidents, situations, damages or accidents (including but not limited to: faulty or defective workmanship, product failure, construction dispute, property damage or construction worker injury) that a reasonably prudent person might expect to give rise to a claim or lawsuit, whether valid or not, which might directly or indirectly involve the company?
  • Do you have a written contract for all work you perform?
  • Does the contract identify a start date for the work?
  • Does the contract identify a precise scope of work?
  • Does the contract identify all subcontracted trades (if any)?
  • Does the contract provide a set price?
  • Is the contract signed by all parties to the contract?
  • Does the applicant perform structural work?

  • Endorsements

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