General Liability Insurance for Plumbers

Quote – Application

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Quote Form

Business Name
Your Name(required)
Email(valid email required)
Phone Number
Street Address
County
Zip Code(required)
Describe your business
Years In business
Years Experience
Number of Business Owners
Business type
Number of Full Time Employees
Number of Part Time Employees
Total Employee Payroll (exclude owner payroll)(required)
Annual Gross Reciepts? (guess if not known)(required)

Desired Coverage Levels

Liability Options
300k/600k 500k/1,000,000
1 million/2 million 2 million/4 million
Deductible
Is Tool, Equipment, or Installation Coverage needed? $225.00 for this coverage.
Yes No
Do you own or rent commercial space or occupy your own building?
Yes No

Percentage of work preformed

(each grouping's % should equal 100%)
A - % of Residential(required)
A - % of Commercial(required)
B - % Inside(required)
B - % Outside(required)
C - % New Construction(required)
C - % Remodel/Repair(required)

Subs

Are Subcontactors Used?
Yes No
Are Subs required to maintain coverage?
Yes No N/A
If Yes, what limits do they subs carry?
What is the annual cost of subs?(required)

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