Contractor Liability Insurance Here

On-Line Contractor
General Liability Quote Form

One Simple Form - takes only 2-3 Minutes!

GENERAL LIABILITY

LOW RATES!
FAST QUOTES!
PROMPT CERTICATES!

WE WILL RATE AS MANY AS 42 QUALITY CARRIERS TO GET YOU THE BEST QUOTE! EASY PAYMENT PLANS. HERE ARE SOME OF THE RECENT ACCOUNTS WE HAVE PLACED:

*Heating/AC Contractor-$1 Million Liability, ONLY $750 A YEAR!
*Plumbing Contractor-$2 Million Liability, ONLY $1125 A YEAR
*Masonry Contractor $2 Million Liability, ONLY $829 A YEAR!
*Roofing Contractor $1 Million Liability, ONLY $1986 A YEAR!

Your Name:
Business Name:
Mailing Address:
City:
State:
Zip/Postal:
E-Mail (REQUIRED):
E-Mail again (for accuracy) :
Phone:
Fax (optional):


Business Underwriting Information

Type of operation:

Describe operations in detail:

License class:

License number:

Limit of Liability	$300,000 $500,000 $1,000,000
Coverage Requested?	$300,000 $500,000 $1,000,000
Currently Insured?	Yes No
Name of Carrier & how long insured?
Prior Claims?	Yes No
Describe claims in detail:
Years in business:
Years experience in field:
Percentage of work residential:
Percentage of work commercial:
Number of Active Owners :
Number of Employees :	0 1 2 +3
Annual Employee Payroll: $
Annual Gross Sales: $
Do you subcontract work?	Yes No
(If yes, what percentage of your work is subbed, and what kind of work?)
Do you do foundation work?	Yes No
Do you do use hot tar?	Yes No
Any Claims in the last 3 years?	Yes No
Do you work on condos, apartments, or Townhomes?	Yes No
Do you have a safety program?	Yes No
Comments/Remarks:
Send my quotation via:	E-Mail Regular Mail Fax Call Me!
	E-Mail Regular Mail Fax Call Me!

Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Yes, I Agree. Please Send Me a Quote NOW!

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Whether you're looking for Wrap-Up OCIP Insurance, Builders’ Risk, General Liability, Worker’s Compensation, Commercial Auto Insurance or coverage for your Commercial Property or Tools insurance, Contractors 1st Insurance Service's dedicated team of highly qualified professionals is committed to finding the best price and coverage options to protect you and every aspect of your company. No matter what kind of contractor insurance you may need, contractors general liability, contractors workers comp, general contractor insurance, sub-contractor insurance, electrician insurance, heating and a/c insurance, builders insurance, general liability insurance for plumbers, painters insurance, roofers insurance, or liability for drywall, concrete or masonry, Contractors 1st Insurance Services will shop as many as 46 top rated insurance carriers to offer you the best value and price for your Contractor Insurance coverage and save your money!

Toll Free Phone: 1-800-347-5373 . Phone: 813-448-9222 . Fax: 813-448-9244
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E-Mail us at: vickie@wrap-insure.com | © 2009
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*The above terms and opinions are to be used for descriptive and reference purposes only. Please review your individual policy for full definitions, exclusions and endorsements. Should you have any questions, please contact your Broker or Agent.