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Contractor Insurance Quote
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Contractor Insurance Quote
Contractor Insurance Quote
Michael Senderovich
2023-07-01T09:09:04-07:00
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Application Information
Applicant Name
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First
Last
Email
*
Phone
*
Business Information
Proposed Policy Effective Date
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MM slash DD slash YYYY
Legal Business Name
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Business Structure
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- Select -
Sole Proprietor or Individual
Corporation
Limited Liability Company
Limited Partnership
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Partnership
DBA
FEIN
Business Address
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Street Address
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Mailing Address
*
Same as Business Address
Street Address
Address Line 2
City
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
License Information
Contractors License or Application Fee Number
No license required
No license required
Classifications
Choose your primary class code. You may add up to 4 additional class codes to describe your business.
Class Code 1
*
- Select -
Air Conditioning
Alarms and Security Systems
Appliance Installation - Commercial
Appliance Installation - Household
Boat Marine Contractors
Cable Installation
Carpentry - Commercial
Carpentry - Frame
Carpentry - Handyperson
Carpentry - Homebuilder
Carpentry - Interior
Carpentry - Interior Remodeler
Carpentry - Interior-Exterior Remodeler
Carpentry - NOC
Carpentry - Residential
Carpentry - Shop Only
Carpet-Upholstery Cleaning
Ceiling-Wall Installation - Metal
Communication, Sound, Home Theatre - Equipment Installation
Concrete Construction
Conduit Construction - Cable/Wire
Contractors Permanent Yards
Debris Removal - construction site
Demolition - Non Structural
Demolition - Structural
Door/Millwork Installation
Driveway/Sidewalk Paving
Drywall - Commercial New and Residential Remodel
Drywall - New Residential
Electrical - Within Buildings
Electrical Apparatus
Excavation
Fence Erection
Fire Extinguishers
Floor Covering
Furniture or Fixture Installation
Garbage, Ash or Refuse Collecting
Glass Dealers and Glaziers
Grading
Heat/AC - up to 15% LPG
Heating and Air Conditioning LPG
House Furnishing Installation
Insulation Work - Mineral
Insulation Work - Organic
Interior Decorators
Janitorial - Commercial
Janitorial - Residential
Landscaping Gardening
Lawn Care (Mow, Blow and Go)
Machinery or Equipment - install, service, or repair
Masonry
Metal Erection - Decorative
Metal Erection - Non-Structural
Mold Remediation
Office Machines or Appliance Installation
Paint Exterior (3 stories and under)
Paint Interior
Paperhanging
Plaster/Stucco
Plumbing - Commercial
Plumbing - Residential
Prefabricated Building Erection
Project Manager
Refrigeration Equipment Installation/Service
Roofing - Commercial
Roofing - Residential
Satellite Dish Installation
Septic Tank Cleaning
Septic Tank Installation
Sewer Cleaning
Sewer Mains Construction
Sheet Metal Work - Exterior/Outside
Siding and Gutter Installation
Sign Erection
Sign Painting
Sign Painting or Lettering - inside of buildings
Solar Cleaning
Solar Installation
Street Cleaning
Swimming Pool Cleaning
Swimming Pool Installation
Tile/Stone Installation
Tree Trimming
Upholstering - NOC
Upholstering - shop only
Water Mains Construction
Water Softening Equipment - installation, servicing, or repair
Water Well Drilling
Welding - Automotive
Welding - Non Structural
Welding - Structural
Window Cleaning
Window Decorating
Window Installation
Window Installation/Glazier
Class Code 1: % of Work
*
Please enter a number from
0
to
100
.
Add 2nd class code
Add 2nd class code
Class Code 2
- Select -
Air Conditioning
Alarms and Security Systems
Appliance Installation - Commercial
Appliance Installation - Household
Boat Marine Contractors
Cable Installation
Carpentry - Commercial
Carpentry - Frame
Carpentry - Handyperson
Carpentry - Homebuilder
Carpentry - Interior
Carpentry - Interior Remodeler
Carpentry - Interior-Exterior Remodeler
Carpentry - NOC
Carpentry - Residential
Carpentry - Shop Only
Carpet-Upholstery Cleaning
Ceiling-Wall Installation - Metal
Communication, Sound, Home Theatre - Equipment Installation
Concrete Construction
Conduit Construction - Cable/Wire
Contractors Permanent Yards
Debris Removal - construction site
Demolition - Non Structural
Demolition - Structural
Door/Millwork Installation
Driveway/Sidewalk Paving
Drywall - Commercial New and Residential Remodel
Drywall - New Residential
Electrical - Within Buildings
Electrical Apparatus
Excavation
Fence Erection
Fire Extinguishers
Floor Covering
Furniture or Fixture Installation
Garbage, Ash or Refuse Collecting
Glass Dealers and Glaziers
Grading
Heat/AC - up to 15% LPG
Heating and Air Conditioning LPG
House Furnishing Installation
Insulation Work - Mineral
Insulation Work - Organic
Interior Decorators
Janitorial - Commercial
Janitorial - Residential
Landscaping Gardening
Lawn Care (Mow, Blow and Go)
Machinery or Equipment - install, service, or repair
Masonry
Metal Erection - Decorative
Metal Erection - Non-Structural
Mold Remediation
Office Machines or Appliance Installation
Paint Exterior (3 stories and under)
Paint Interior
Paperhanging
Plaster/Stucco
Plumbing - Commercial
Plumbing - Residential
Prefabricated Building Erection
Project Manager
Refrigeration Equipment Installation/Service
Roofing - Commercial
Roofing - Residential
Satellite Dish Installation
Septic Tank Cleaning
Septic Tank Installation
Sewer Cleaning
Sewer Mains Construction
Sheet Metal Work - Exterior/Outside
Siding and Gutter Installation
Sign Erection
Sign Painting
Sign Painting or Lettering - inside of buildings
Solar Cleaning
Solar Installation
Street Cleaning
Swimming Pool Cleaning
Swimming Pool Installation
Tile/Stone Installation
Tree Trimming
Upholstering - NOC
Upholstering - shop only
Water Mains Construction
Water Softening Equipment - installation, servicing, or repair
Water Well Drilling
Welding - Automotive
Welding - Non Structural
Welding - Structural
Window Cleaning
Window Decorating
Window Installation
Window Installation/Glazier
Class Code 2: % of Work
Please enter a number from
0
to
100
.
Add 3rd class code
Add 3rd class code
Class Code 3
- Select -
Air Conditioning
Alarms and Security Systems
Appliance Installation - Commercial
Appliance Installation - Household
Boat Marine Contractors
Cable Installation
Carpentry - Commercial
Carpentry - Frame
Carpentry - Handyperson
Carpentry - Homebuilder
Carpentry - Interior
Carpentry - Interior Remodeler
Carpentry - Interior-Exterior Remodeler
Carpentry - NOC
Carpentry - Residential
Carpentry - Shop Only
Carpet-Upholstery Cleaning
Ceiling-Wall Installation - Metal
Communication, Sound, Home Theatre - Equipment Installation
Concrete Construction
Conduit Construction - Cable/Wire
Contractors Permanent Yards
Debris Removal - construction site
Demolition - Non Structural
Demolition - Structural
Door/Millwork Installation
Driveway/Sidewalk Paving
Drywall - Commercial New and Residential Remodel
Drywall - New Residential
Electrical - Within Buildings
Electrical Apparatus
Excavation
Fence Erection
Fire Extinguishers
Floor Covering
Furniture or Fixture Installation
Garbage, Ash or Refuse Collecting
Glass Dealers and Glaziers
Grading
Heat/AC - up to 15% LPG
Heating and Air Conditioning LPG
House Furnishing Installation
Insulation Work - Mineral
Insulation Work - Organic
Interior Decorators
Janitorial - Commercial
Janitorial - Residential
Landscaping Gardening
Lawn Care (Mow, Blow and Go)
Machinery or Equipment - install, service, or repair
Masonry
Metal Erection - Decorative
Metal Erection - Non-Structural
Mold Remediation
Office Machines or Appliance Installation
Paint Exterior (3 stories and under)
Paint Interior
Paperhanging
Plaster/Stucco
Plumbing - Commercial
Plumbing - Residential
Prefabricated Building Erection
Project Manager
Refrigeration Equipment Installation/Service
Roofing - Commercial
Roofing - Residential
Satellite Dish Installation
Septic Tank Cleaning
Septic Tank Installation
Sewer Cleaning
Sewer Mains Construction
Sheet Metal Work - Exterior/Outside
Siding and Gutter Installation
Sign Erection
Sign Painting
Sign Painting or Lettering - inside of buildings
Solar Cleaning
Solar Installation
Street Cleaning
Swimming Pool Cleaning
Swimming Pool Installation
Tile/Stone Installation
Tree Trimming
Upholstering - NOC
Upholstering - shop only
Water Mains Construction
Water Softening Equipment - installation, servicing, or repair
Water Well Drilling
Welding - Automotive
Welding - Non Structural
Welding - Structural
Window Cleaning
Window Decorating
Window Installation
Window Installation/Glazier
Class Code 3: % of Work
Please enter a number from
0
to
100
.
Add 4th class code
Add 4th class code
Class Code 4
- Select -
Air Conditioning
Alarms and Security Systems
Appliance Installation - Commercial
Appliance Installation - Household
Boat Marine Contractors
Cable Installation
Carpentry - Commercial
Carpentry - Frame
Carpentry - Handyperson
Carpentry - Homebuilder
Carpentry - Interior
Carpentry - Interior Remodeler
Carpentry - Interior-Exterior Remodeler
Carpentry - NOC
Carpentry - Residential
Carpentry - Shop Only
Carpet-Upholstery Cleaning
Ceiling-Wall Installation - Metal
Communication, Sound, Home Theatre - Equipment Installation
Concrete Construction
Conduit Construction - Cable/Wire
Contractors Permanent Yards
Debris Removal - construction site
Demolition - Non Structural
Demolition - Structural
Door/Millwork Installation
Driveway/Sidewalk Paving
Drywall - Commercial New and Residential Remodel
Drywall - New Residential
Electrical - Within Buildings
Electrical Apparatus
Excavation
Fence Erection
Fire Extinguishers
Floor Covering
Furniture or Fixture Installation
Garbage, Ash or Refuse Collecting
Glass Dealers and Glaziers
Grading
Heat/AC - up to 15% LPG
Heating and Air Conditioning LPG
House Furnishing Installation
Insulation Work - Mineral
Insulation Work - Organic
Interior Decorators
Janitorial - Commercial
Janitorial - Residential
Landscaping Gardening
Lawn Care (Mow, Blow and Go)
Machinery or Equipment - install, service, or repair
Masonry
Metal Erection - Decorative
Metal Erection - Non-Structural
Mold Remediation
Office Machines or Appliance Installation
Paint Exterior (3 stories and under)
Paint Interior
Paperhanging
Plaster/Stucco
Plumbing - Commercial
Plumbing - Residential
Prefabricated Building Erection
Project Manager
Refrigeration Equipment Installation/Service
Roofing - Commercial
Roofing - Residential
Satellite Dish Installation
Septic Tank Cleaning
Septic Tank Installation
Sewer Cleaning
Sewer Mains Construction
Sheet Metal Work - Exterior/Outside
Siding and Gutter Installation
Sign Erection
Sign Painting
Sign Painting or Lettering - inside of buildings
Solar Cleaning
Solar Installation
Street Cleaning
Swimming Pool Cleaning
Swimming Pool Installation
Tile/Stone Installation
Tree Trimming
Upholstering - NOC
Upholstering - shop only
Water Mains Construction
Water Softening Equipment - installation, servicing, or repair
Water Well Drilling
Welding - Automotive
Welding - Non Structural
Welding - Structural
Window Cleaning
Window Decorating
Window Installation
Window Installation/Glazier
Class Code 4: % of Work
Please enter a number from
0
to
100
.
Add 5th class code
Add 5th class code
Class Code 5
- Select -
Air Conditioning
Alarms and Security Systems
Appliance Installation - Commercial
Appliance Installation - Household
Boat Marine Contractors
Cable Installation
Carpentry - Commercial
Carpentry - Frame
Carpentry - Handyperson
Carpentry - Homebuilder
Carpentry - Interior
Carpentry - Interior Remodeler
Carpentry - Interior-Exterior Remodeler
Carpentry - NOC
Carpentry - Residential
Carpentry - Shop Only
Carpet-Upholstery Cleaning
Ceiling-Wall Installation - Metal
Communication, Sound, Home Theatre - Equipment Installation
Concrete Construction
Conduit Construction - Cable/Wire
Contractors Permanent Yards
Debris Removal - construction site
Demolition - Non Structural
Demolition - Structural
Door/Millwork Installation
Driveway/Sidewalk Paving
Drywall - Commercial New and Residential Remodel
Drywall - New Residential
Electrical - Within Buildings
Electrical Apparatus
Excavation
Fence Erection
Fire Extinguishers
Floor Covering
Furniture or Fixture Installation
Garbage, Ash or Refuse Collecting
Glass Dealers and Glaziers
Grading
Heat/AC - up to 15% LPG
Heating and Air Conditioning LPG
House Furnishing Installation
Insulation Work - Mineral
Insulation Work - Organic
Interior Decorators
Janitorial - Commercial
Janitorial - Residential
Landscaping Gardening
Lawn Care (Mow, Blow and Go)
Machinery or Equipment - install, service, or repair
Masonry
Metal Erection - Decorative
Metal Erection - Non-Structural
Mold Remediation
Office Machines or Appliance Installation
Paint Exterior (3 stories and under)
Paint Interior
Paperhanging
Plaster/Stucco
Plumbing - Commercial
Plumbing - Residential
Prefabricated Building Erection
Project Manager
Refrigeration Equipment Installation/Service
Roofing - Commercial
Roofing - Residential
Satellite Dish Installation
Septic Tank Cleaning
Septic Tank Installation
Sewer Cleaning
Sewer Mains Construction
Sheet Metal Work - Exterior/Outside
Siding and Gutter Installation
Sign Erection
Sign Painting
Sign Painting or Lettering - inside of buildings
Solar Cleaning
Solar Installation
Street Cleaning
Swimming Pool Cleaning
Swimming Pool Installation
Tile/Stone Installation
Tree Trimming
Upholstering - NOC
Upholstering - shop only
Water Mains Construction
Water Softening Equipment - installation, servicing, or repair
Water Well Drilling
Welding - Automotive
Welding - Non Structural
Welding - Structural
Window Cleaning
Window Decorating
Window Installation
Window Installation/Glazier
Class Code 5: % of Work
Please enter a number from
0
to
100
.
Total % of Work
Percent must add up to 100
Business Information
How many years has the applicant's current company been in business?
*
Number of years of Applicant's industry experience
*
Insurance History
*
- Select -
No lapse, no claims
1-59 days lapse, 4+ years loss free
60+ days lapse, 4+ years loss free
No prior insurance
Claim in the past 4 years
Number of Active Owners
*
Annual Gross Receipts
*
Does Applicant Have Employees?
No
Yes
Number of Employees
*
Please enter a number greater than or equal to
1
.
Annual Employee Payroll
*
Does Applicant Hire Subcontractors?
No
Yes
Annual Subcontractor Costs
*
Percent of RESIDENTIAL work performed
*
Please enter a number from
0
to
100
.
Does Applicant perform residential work prior to the certificate of occupancy?
No
Yes
Percent of NEW work performed
*
Please enter a number from
0
to
100
.
*prior to approval for occupancy.
Percent of REMODELING work performed
*
Please enter a number from
0
to
100
.
*prior to approval for occupancy.
Total
*
Percent must add up to 100
Please briefly describe your business
*
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Wrapping Up
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Michael Senderovich
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Like most insurance agencies, we use information from you and other sources, such as your driving and claims histories, insurance score, and other factors to calculate an accurate rate for your insurance. New or updated information may be used to calculate your renewal premium.
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All the above information is accurate and true to the best of my knowledge
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