• This form is designed to collect detailed underwriting information for businesses operating in New York. By completing all applicable sections, you help us prepare an accurate and competitive General Liability insurance quote tailored to your operations, risk exposures, and regulatory requirements.

    Whether you are a contractor, retailer, service provider, distributor, or professional office, this information allows us to properly assess your liability exposures and design coverage that meets landlord, vendor, and contractual insurance requirements.

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  • Whether you're a contractor, retailer, or service provider, we tailor each quote to fit your specific risks and industry requirements. Our process is quick, transparent, and designed to give you the protection you need.

  • Which industry best describes your business?

  • Please describe your company’s operations in detail.


    Include the services performed, products sold, types of work performed, and typical work environments (e.g., office-based services, on-site customer work, retail sales, installation, repair, manufacturing, distribution, or job-site operations).

    The more detail you provide, the more accurate and competitive your insurance proposal will be.

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  • Has the business had any prior general liability claims?
  • Do customers enter work areas (shop floor, bays, gym floor, kitchen, etc.)?
  • Do you perform work away from your primary location?
  • Do you sell, install, or service physical products?
  • Is your business location open to the public?

  • Risk Transfer

    Please provide details regarding any subcontracted work. This section helps evaluate liability exposure, contractual risk transfer, and insurance compliance.
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  • Do you require subcontractors to carry General Liability insurance?
  • Do you collect Certificates of Insurance naming your business as Additional Insured?
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