Contractors Insurance Quote | Huggins Insurance

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Contact information

Name: *

Email: *

Phone: *

Business information

Business name: *

Is this name a DBA? *

Yes

What is the address of your business? *

Address

City

State

ZIP Code

I have a different mailing address.

Add address

Mailing address: *

Address

City

State

ZIP Code

Describe your business:

In what year was your company started? *

Federal ID number:

Coverage needs

How many employees do you have?

Full-time

Part-time

Does your business own any vehicles or trailers? *

Yes

How much do you estimate the value to be of your tools in storage?

How much do you estimate the maximum value to be of your tools on the job site?

Payroll estimate for last 12 months:

Payroll estimate for next 12 months:

Gross receipts estimate for the last 12 months:

Gross receipts estimate for the next 12 months:

Who is your current insurance provider?

Provider's name

Policy number

Do you own or lease your office building?

Yes

Has your company had any losses in the last 5 years?

Yes

In what year was your building built?

What is the square footage of your building space?

Does your business need to insure vehicles?

Yes

Select all that apply:

I am an owner of other properties or business operations under this legal entity.

I am related to another entity through common ownership.

I am a subsidiary of another entity?

Work history

Describe the last five jobs:
Work completed*	Project type*	Start date*	Completion date*	Revenue*	Client*
Work completed *	Project type *	Start date *	Completion date *	Revenue *	Client *
Work completed	Project type	Start date	Completion date	Revenue	Client
Work completed	Project type	Start date	Completion date	Revenue	Client
Work completed	Project type	Start date	Completion date	Revenue	Client
Work completed	Project type	Start date	Completion date	Revenue	Client

I have current, completed or planned construction in AK, AZ, CA, HI, NV or NY.

Specific state work

Subcontractors

Do you use subcontractors? *

Yes

Estimate of amount paid to subcontractors in the last 12 months. *

Estimate of amount to be paid to subcontractors for the next 12 months? *

Is there a requirement that you be held harmless and indemnified for loss and defense costs caused by the work of subcontractors? *

Yes

Do you obtain and keep a file of Certificates of Insurance for General Liability from all subcontractors? *

Yes

Are subcontractors required to show you as an additional insured on the subs' General Liability policies? *

Yes

Do your subcontractors carry General Liability limits less than you? *

Yes

Do your subcontractors currently operate in the state of New York, or plan to in the future? *

Yes

800-285-8543

Stand secure. Be protected.

To help us get started on a quote, please answer the questions below.

~ Benjamin

Salem, Oregon