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CONTRACTOR'S LIABILITY INSURANCE

Why do you need it?

It covers you in case you become legally obligated to pay for damage to some else's property or pay for injury to a third party. It also pays your legal fees if you are wrongfully sued.

General Liability Insurance Quote Form

Please fill out form as completely as possible. Fields with bold titles may not be left blank. All information is held in the strictest confidence.
Business Name:  
Street Address:  
Address (cont):  
City:  
State:   We only provide services in California.
ZIP:  
Work Phone:   (123-456-7890)
Home Phone:   (123-456-7890)
Mobile Phone:   (123-456-7890)
Fax:   (123-456-7890)
E-Mail Address:  
Contractor's License Type:  
Estimated Annual Gross Receipts:   (500000.00)
Estimated Annual Employee Payroll:   (500000.00)
Estimated Annual Sub-out cost:   (500000.00)
Liability Limit:   100,000
300,000
500,000
1,000,000
2,000,000
Current Policy Expiration Date:   (mm/yyyy)
Carrier:  
Number of Years in Business:  
Any Claims in Last 3 Years:   No
Yes
If Yes, Explain:  
Brief Description of Your Work:  
Also interested in getting a Quote for:   Workers Comp
Commercial Auto
Bonds
 

HOME | GENERAL LIABILITY | WORKERS COMP | COMMERCIAL AUTO | BONDS | CONTACT US
We offer
General Liability
Commercial Auto
Course of Construction
Worker's Compensation
Business Property Insurance
Umbrella Insurance Policies
Phone (800) 926-6858
Fax (800) 926-7858

Our Customers
say it best...
 
 
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