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Environmental & pollution liability for general contractors and artisan (trade) contractors

Complete the form below to request a quote.
Minimum premium: $2500 without mold coverage and $5000 with mold coverage

Annual payroll of all non-owners:

Annual subcontractor costs:

Gross annual receipts:

Date you want coverage to begin:



Business name & your name:

Tel numbers with area code:

E-mail:

Mailing address:

City, State, & Zip:

County:

Number of owners:

Years of experience:

Years in business:

Type of Contractor:

Limit of insurance:



Percentage of new work:

Percentage of remodel work:

Percentage of demolition work:

Percentage of repair work:

TOTAL of ABOVE =

100%




Percentage of commercial work:

Percentage of residential work:

Percentage of industrial work:

Percentage of institutional work:

TOTAL of ABOVE =

100%




Percentage of work done inside:

Percentage of work done outside:

Percentage of other:

TOTAL of ABOVE =

100%


Comments:

I have read and agree to the payment terms and the terms of use and privacy policy . I have read the consumer disclosures .

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