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Contractors Insurance Quote
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👤 Contact Info
First Name
*
Last Name
*
Phone
*
Email
*
Date of Birth (needed to start your quote)
*
📋 Contractors Insurance Quote Details
Business Name
(not required)
Additional Owners / Partners
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Additional Owner / Partner
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Full Name
Relationship to Applicant
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Spouse
Domestic Partner
Relative
Friend
Partner
Business Partner
Date of Birth
Type of Business
*
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SOLE PROPRIETOR
LLC
CORPORATION
EIN
(not required)
Address
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OK
AL
AK
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CA
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DE
FL
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HI
ID
IL
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KY
LA
ME
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PA
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SC
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What type of insurance are you needing?
(not required)
General Liability (GL)
Business Owners Policy (BOP)
Would you also like to quote
(not required)
Tools and Equipment
Inland Marine
Workers' Compensation (WC)
Owner's Payroll Annually
(not required)
W-2 Employee Payroll Annually
(not required)
Owner-Only / Ghost Policy? (no employees - a certificate to satisfy contract requirements)
(not required)
Yes - owner only, no employees
No - I have employees
Do you hire Subcontractors (1099)
(not required)
Yes
No
1099 Subcontractor Payments Annually (enter 0 if none)
(not required)
Tools & Equipment to Insure
Equipment
Description (e.g. skid steer, trailer, generator)
Manufacturer
Model
Serial Number
Year
Cost New $
Current Value $
Financed? Lien holder name and address (leave blank if none)
+ Add a piece of equipment
Equipment
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Description (e.g. skid steer, trailer, generator)
Manufacturer
Model
Serial Number
Year
Cost New $
Current Value $
Financed? Lien holder name and address (leave blank if none)
Total value of small hand and power tools (items under $1,500 each) $
(not required)
What kind of jobs is the equipment used on?
*
Do you rent or lease equipment from others?
(not required)
Yes
No
If you rent or lease equipment: typical value you have at one time $ (leave blank if none)
(not required)
Is equipment ever left at a job site unattended?
*
Yes
No
How is the equipment secured at the job site and overnight?
(not required)
Radius of operation (how far from home base, in miles)
(not required)
Is any of the equipment tagged for road use?
(not required)
Yes
No
Deductible you prefer
(not required)
Select…
$500
$1,000
$2,500
Not sure
Vehicles To Insure (if applicable)
+ Add a vehicle
Vehicle
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Year
Make
Model
VIN (17 characters)
Is this vehicle owned, leased or financed?
Select…
Owned
Leased
Financed
Finance / lease company name
What Is This Vehicle Used For?
Type of Business
Business Only or Business & Personal Use?
Business Only
Business & Personal
Miles One Way (to Work / Job Site)
Select…
0-50
51-100
101-300
301-500
500+
Name of Driver
Driver Date of Birth
Driver's License # / State
OK
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Are you a new business
(not required)
Yes
No
Years of experience in this trade
(not required)
Do you have a trade license (electrician, plumber, HVAC or other)?
(not required)
Yes
No
Trade licenses (optional): add your license if you have one
Trade license
License type
Select…
Electrician
Plumber
HVAC / Mechanical
Other
If Other, what license?
License #
Level (e.g. Journeyman, Contractor, Master)
State
Expiration date
+ Add another license
Trade license
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License type
Select…
Electrician
Plumber
HVAC / Mechanical
Other
If Other, what license?
License #
Level (e.g. Journeyman, Contractor, Master)
State
Expiration date
When does your insurance expire?
(not required)
Do you have coverage for this now?
*
Yes
No
Who is it with now?
(not required)
When does that policy expire?
(not required)
Notes: Please describe your largest project in the last 5 years and the gross receipt.
(not required)
When do you want your policy to start?
*
How would you like us to contact you?
(not required)
Select…
Call
Email
Text
📎 Documents
Upload a copy of your license (optional)
(not required)
Up to 5 files total, 10 MB each — PDF, photos, or documents.
Upload your old policy and your 3-year loss run report.
(not required)
Up to 5 files total, 10 MB each — PDF, photos, or documents.
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