GENERAL LIABILITY INSURANCE

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Overview

Commercial liability insurance, commonly referred to as general liability insurance, is a comprehensive commercial insurance policy that cover a range of circumstances. If you operate any sort of business in New York, we recommend that you have this general liability coverage in place. The insurance agents at NEC Angecy can help you find the best rates and coverage options.

Artisan Contractors Policy QUOTE

At NEC Insurance Agency, Inc. We put the power of the Internet to work for you!
The following questions concern the type of business insurance coverage you are requesting . Please answer them as accurately as possible.
Business Information:

1. Business Name:

What type of entity is your company?

2. Description of the business:

How many years in business?

3. Business address:

City:

State:

Zip Code:

4. Please indicate the state in which your business is located:

5. Do you currently have insurance?YesNo

6. If yes, please provide the company name here:

7. How many years have you had coverage with this company?

8. How many years have you had continuous coverage (With no lapse)?

9. In the past five years have you reported any losses? YesNo

10. If you have, were those claims:

11. Describe all operations in details:

%Painting

%Carpentry

%Drywall

%Electrical

%Plumbing

%Masonry

% %Door, Window, Partition Install/Repair

%Cabinet Making/Install

%Woodworking

% Other

12. Commercial Work, in offices %

Any other Commercial Work %

Residential Work %

13. Inside Buildings %

Vs. Outside Buildings %

14. Is More than 5% of work is performed outside of " Home " State? YesNo

15. Any other business owned by applicant, including any unrelated operations?

YesNo IF Yes, please List

16. Any work involving:

Sewers & Drains YesNo

Heating / Air-conditioning YesNo

Exterior Work above 3 stories YesNo

Tree Pruning / Spraying YesNo

Medical or life Support YesNo

Snow / Ice Removal YesNo

Alarms YesNo

Lawn Sprinklers YesNo

Fire Sprinklers YesNo

BackhoesYesNo

CranesYesNo

RoofingYesNo

Below Grade WorkYesNo If yes, Maximum Depth:

17. Liability Amount:

Deductible:

18. Property: $

Business Contents:

19. Please indicate your total # of full-time employees:

Total Salary? $

20. Please indicate your total # of Part Time Employees:

Total Salary? $

21. Please indicate the payroll of the owners: Total Salary? $

22. Please indicate your total annual payroll without owners: $

23. Please indicate your total Gross receipts: $ & nbsp;

24. Please indicate your total Cost of Subcontractors: $

The answer to these basic questions will help us process your information.

1) Best Time To Contact:

2) Additional Comments:
Please provide any additional information you feel is pertinent to the insurance coverage you need.

1. First Name:

2. Last Name:

3. Phone:

4. Email:

5. Address:

6. Address:

7. City:

8. State:

9. Zip Code:

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