Get a Quote For Your State - Contractors Liability

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Company Name

Business Address

Street Address

Street Address Line 2

CityState

Zip Code

Business Type

Annual Revenue

Painters: Do you do any spray painting?

Painters: Do you ever use any oil based paints?

Painters: Do you work in buildings over 3 stories?

Painters: What is the highest floor you'll conduct work on?

HVAC: Any exterior work above three stories?

HVAC: Any use of cranes or lift units?

Flooring: Do you do any tile work?

Flooring: Any exterior flooring exposure?

Flooring: Do you do any floor sanding and refinishing?

Carpentry Framing: Check any that apply to work done by your business…

Concrete: Do you do any foundation repair?

Concrete: Any home lifting?

Plumbers: Do you do any boiler work?

Plumbers: Any back flow testing?

Roofers: Do you use scaffolding?

Roofers: Is your scaffolding subbed out or do you own your scaffolds?

Roofers: Is any work performed on homes with 5k sq ft or more?

Roofers: Do you ever work on commercial buildings w/ 20k sq ft or more?

Roofers: Any hot application exposure?

Do you use heating devices?

Grading: Any work on public roads?

Grading: Any farm exposure?

General Contractors: Please check any options that apply to your business…

Excavation: Any work on public roads?

Excavation: Any farm exposure?

Excavation: What is the max depth you'll excavate?

Excavation: Any brush clearing exposure?

Janitorial: Any infectious diseases disinfection?

Janitorial: Any window cleaning above ground?

Janitorial: Any floor waxing?

Plumbers: Any LPG work?

Plumbers: If so, what percentage of your overall gross sales is from LPG work?

How many years experience does the owner have in this field?

What type of entity is your business?

Number of years in business?

Do you have employees?

Number of Employees

Please enter a number greater than or equal to 0.

Annual Payroll Amount

Please enter a number greater than or equal to 0.

Do you hire subcontractors?

% Work Sub-contracted to Others

Subcontract Amount Paid Annually

Please enter a number greater than or equal to 0.

Do you pay for your own materials?

What is your approximate material cost per year?

% Commercial Work

% Residential Work

% New Construction Work

% Remodel/Service/Renovation

% Exterior Work

Do you currently have insurance?

Why are you primarily looking for a quote today?

How much are you currently paying?

What date do you need a policy by?

Have you had any claims in the last 5 years?

What year was your most recent claim?

I agree to receive SMS from BEARSTAR INSURANCE SERVICES. (You can reply stop to opt-out at any time).

Would you like a quote on any additional insurance?

Please describe your business activities and job description in ten words or more?

Please provide a description of at least 10 words. For example: “I’m a residential roofing contractor that specializes in installing new metal roofs.”