Revised
& Improved
Small
Contractor GL
Min. Premiums as Low as $1000*
Remodelers, Artisans, & GC's
New Residential Construction
New Ventures - O.K.
Gross Receipt Rated
Up to 100% Sub-out Allowed
Blanket AI & Waiver of Subro Incl.
Rated A "Exceptional" by
Demotech®
Same Day Quotes on Most Classes
*Lower
Minimums apply in some States
For More
Information Contact Brigitte Johnson
Voice:
866-288-6518 Fax: (760) 269-3140
Email:
quotes@ezbind.net
Small
Contractor
Quick
Quote
|
|
Date:
______________________
Re: Quick Quote by Telephone
Agency:
______________________
Contact Name:
_______________
Phone #:
_____________________
Fax #:
_____________________
GL Limits:
$500k/$500k/$500k
$1mm/$1mm/$1mm
$1mm/$1mm/$2mm
DBA:
______________________________________________________
Mailing Address:
_____________________________________________
Description of Ops:
____________________________________________
__________________________________________________________
Years in Business:
___________ Years of Experience:
_____________
Franchisee:
YES NO
Gross Receipts:
$_________ Sub-out:
$_________ Payroll: $_________
Residential to 100%: New
_____% Remodel _____%
Service/Repair _____%
Commercial to 100%: New
_____% Remodel _____%
Service/Repair _____%
Any work on New Construction of
Apartment, Condo/Town-home, and/or Tract Home Operations in the past 5
years? YES
NO
If yes explain:
________________________________________________
__________________________________________________________