Electrical Contractors Legal Name of your business: Name(s) of business owners Your email address: Best phone number to call you at:Your website address: Address Line 2 Your business location/ mailing address: Address Line 2 How many years have you been in business:How many years of similar business experience: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:Description of your business operations: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?When 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 SOMETIMES check my subs for liability insurance. How many employees do you have on payroll?Which liability limit did you want quotes on: $1million $2million $3million $4million $5million Greater than $5million What deductible would you like? $1000 $2500 $5000 $10,000. Whichever you suggest Would you like to insure any tools/equipment? No thanks Yes, $10,000. limit is fine. Yes, over $10,000. limit Please talk to me more about this. With respect to Residential operations, please roughly estimate your % for each of the following: New construction, Renovation? Combined total should be 50%With respect to Commercial Construction, please roughly estimate your % for each of the following: New construction, Tenant Improvement work? Combined total should be: 50%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" Do you require a $10,000. Surety Bond? Yes No I already insure this with you. How did you find out about our office? I am an existing customer I was referred by someone I saw your office driving/walking by I found you online
