Construction Contractors Legal Name of your business: Name(s) of business owners Your email address: Best phone number to call you at:Your website address: Your business location/ mailing address:How many years have you been in business:How many years of similar business experience:Business operations:Is this your first time getting insurance for this company? Yes No, i have current insurance and will email a copy. I've had insurance a few years ago Please upload a copy of your current Insurance policyMax. file size: 10 MB.File must be 10 MB or lessIf you've had any insurance claims in the last 5 years, please outline: date of loss, amount paid out by insurance company and what happened:Your best estimate of your annual gross revenue for the next 12 months? Must be within 90% of your true Annual Gross revenue to satisfy co-insurance requirements.:Where are your customers located? Please indicate below best breakdown of your gross revenue: 100% local BC 90% BC, 10% rest of Canada 95% Canadian, 5% USA Mostly Canadian and more than 5% USA Mostly Canadian, Some USA and Some Foreign. Do you use any sub-trades in your business? If so, please outline what operations you "sub out" and approx. percentage of your total gross revenue?Please list below which of the following you do and/or sub out to others and briefly outline scope of work: building demolition, Drilling, Welding, Blasting, spraying Pressure Washing and/or spraying Paint, Spraying (Pesticides), work at Airport Premises, Excavation Work (Maximum Depth?) Propane Work, Ships or Docks, roofing work, Shoring/ Tunneling/ Underpinning, Insulation (Installation/removal) Swimming Pools, Work Cranes, Bridge Work.If you use "sub trades" please advise if you: i ALWAYS check my subs for liability insurance I do NOT check my subs for liability insurance I SOMETIMES check my subs for liability insurance. I don't use any sub-trades How many employees do you have on payroll? Annual total payroll in $Which liability limit did you want quotes on: $1million $2million $3million $4million $5million Greater than $5million What deductible would you like? $1000 $2500 $5000 $10000 Whichever you suggest Would you like to insure any tools/equipment? No thanks Yes, $10,000. limit is fine. Yes, over $10,000. limit Yes, over $10,000. but less than $25,000 limit Please talk to me more about this. Would you like to insure any items at a business or residential location? No, I only require insurance on tools/equipment in my vehicle Yes, Please give me a quote. Please talk to me more about this. What percentage of your work is from commercial consrtuction projects? What percentage of your work is from residential construction projects? Please put a check below beside any operations listed below: Any work at airports Bridges Tunnels Hospitals Any Condo / Strata / Apartment Buildings Involiving any crane operations Large Commercial Boiler work HVAC Propane Natural Gas High Voltage work Insurance restoration work Any work on "leaky-condo" How did you find out about our office? I was referred by someone I am an existing client I found you by driving / walking by I found you online PhoneThis field is for validation purposes and should be left unchanged.