Roofing Liability 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: 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 or last Insurance policy you have?Max. file size: 10 MB.File must be 10 MB or less If you've had any losses or 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 total annual gross revenue for the next 12 months: Your best percentage estimate of your total annual gross revenue from residential vs commercial customers? What % of your total gross revenue is from hot tar work? What % of your total gross revenue is from hot air membrane work? What % of your total gross revenue is from torch on work? What % of your total gross revenue are from Cold shingle work? What % of your total gross revenue are from Metal roofing work? What % of your total gross revenue are from wood shake/wood shingle work? Some insurers offer a discount based on an owner's credit. Do you consent for the insurer to perform a soft credit check? Yes No If you are interested in the discount above, what is your birthdate and confirm you are a majority shareholder in your company? 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 or sub-contractors in your business? If so, please outline what operations you "sub out" and approx. percentage of your total gross revenue?How many employees do you have on payroll? What is your annual payroll $? Would you like any tools/equipment coverage? If so, please advise total limit $ Which liability limit did you want quotes on: $1million $2million $3milliion $4million $5million Greater than $5million How did you find out about our office? I am already an existing customer I am a client of one of your staff members I found you via social media I found you driving/walking by I was referred by someone I found you via google search EmailThis field is for validation purposes and should be left unchanged.