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Contractors Insurance Quote
from All American Insurance Agency

We are located in West Palm Beach, Florida.
 

COMPANY INFORMATION
Company Name
Contact Name
E-Mail Address
Phone Number
Address
 
City
State
Zip
BUSINESS TYPE
Individual
Partnership
Corporation
Type of Work Done
   
   

COVERAGE INFORMATION
Liability Limits  
Per Occurrence
General Aggregate Limit
Products/Comp Ops Limit
Personal Advertising
Fire Damage
Medical Payments

BUSINESS INFORMATION
Annual Receipts (sales)
Annual Payroll
Years in Business
Number of Employees
Years of Experience

TYPE OF WORK
Describe the Work Done (example: interior carpentry)

(list the percentage of each below)
Residential
Commercial

SUBCONTRACTORS
(percent of your work sent to subs)
Percentage subbed out
Type of work subbed out

LOSSES
Please list loss history for past three years


REMARKS


Current Coverage?

Do you currently have insurance? Yes No
Current policy expiration date?

 

 



If you would like to discuss your insurance needs, you can reach us by telephone at 561-642-1308 or you can e-mail us here.


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