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Contractors Insurance Quote
Home
Contractors Insurance Quote
Contractors Insurance Quote
Hunter Nelson
2026-03-07T16:54:56-06:00
Free Consultation or Quick Quote: 605-275-9700
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Business Owner's Name
*
First
Last
Email
*
Phone
*
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Legal Business Name
*
Business Address
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Street Address
Address Line 2
City
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Armed Forces Americas
Armed Forces Europe
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State
ZIP Code
Years in business
1
2
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12
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30+
Have you or do you have other business operations?
*
Yes
No
State(s) in which you do business
Contractors License #
Please explain other operations and name
Current Operation Percentages
Please enter 0 below if an operation does not apply.
General Contractor %
*
Subcontractor %
*
Construction Manager %
*
Do you use Subcontractors?
*
Yes
No
Annual subcontracting cost
*
(including all of subs' labor and materials)
Do you collect certificates from all subcontractors?
*
Yes
No
Payroll Estimates
Estimated payroll for the next 12 months. All fields are required. Please enter 0 if no payroll.
Payroll
*
Gross Receipts
*
5 Years Prior History
Construction Performed By You
New Construction (Residential)
*
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0
to
100
.
New Construction (Commercial)
*
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0
to
100
.
Remodeling/Repair (Residential)
*
Please enter a number from
0
to
100
.
Remodeling/Repair (Commercial)
*
Please enter a number from
0
to
100
.
Construction Total
Estimated Types of Construction Work to Perform
Please enter the estimated percentage of construction work to be performed over the next 12 months using payroll Direct and Subcontracted.
Airports (Direct)
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0
to
100
.
Airports (Subbed)
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0
to
100
.
Blasting (Direct)
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0
to
100
.
Blasting (Subbed)
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0
to
100
.
Bridge Building (Direct)
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0
to
100
.
Bridge Building (Subbed)
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0
to
100
.
Carpentry (Direct)
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0
to
100
.
Carpentry (Subbed)
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0
to
100
.
Concrete (Direct)
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0
to
100
.
Concrete (Subbed)
Please enter a number from
0
to
100
.
Demolition (Direct)
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0
to
100
.
Demolition (Subbed)
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0
to
100
.
Drilling (Direct)
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0
to
100
.
Drilling (Subbed)
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0
to
100
.
Drywall (Direct)
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0
to
100
.
Drywall (Subbed)
Please enter a number from
0
to
100
.
Earthquake (Direct)
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0
to
100
.
Earthquake (Subbed)
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0
to
100
.
Electrical (Direct)
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0
to
100
.
Electrical (Subbed)
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0
to
100
.
Excavation (Direct)
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0
to
100
.
Excavation (Subbed)
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0
to
100
.
HVAC (Direct)
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0
to
100
.
HVAC (Subbed)
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0
to
100
.
Grading (Direct)
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0
to
100
.
Grading (Subbed)
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0
to
100
.
Insulation (Direct)
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0
to
100
.
Insulation (Subbed)
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0
to
100
.
Maintenance (Direct)
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0
to
100
.
Maintenance (Subbed)
Please enter a number from
0
to
100
.
Masonry (Direct)
Please enter a number from
0
to
100
.
Masonry (Subbed)
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0
to
100
.
Mechanical (Direct)
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0
to
100
.
Mechanical (Subbed)
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0
to
100
.
Painting (Direct)
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0
to
100
.
Painting (Subbed)
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0
to
100
.
Plastering (Direct)
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0
to
100
.
Plastering (Subbed)
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0
to
100
.
Plumbing (Direct)
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0
to
100
.
Plumbing (Subbed)
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0
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100
.
Roofing (Direct)
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0
to
100
.
Roofing (Subbed)
Please enter a number from
0
to
100
.
Seismic/Retrofitting (Direct)
Please enter a number from
0
to
100
.
Seismic/Retrofitting (Subbed)
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0
to
100
.
Sewer (Direct)
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0
to
100
.
Sewer (Subbed)
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0
to
100
.
Steel/Structural (Direct)
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0
to
100
.
Steel/Structural (Subbed)
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0
to
100
.
Steel/Ornamental (Direct)
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0
to
100
.
Steel/Ornamental (Subbed)
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0
to
100
.
Street/Road (Direct)
Please enter a number from
0
to
100
.
Street/Road (Subbed)
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0
to
100
.
Supervisory Only (Direct)
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0
to
100
.
Supervisory Only (Subbed)
Please enter a number from
0
to
100
.
Traffic Signals (Direct)
Please enter a number from
0
to
100
.
Traffic Signals (Subbed)
Please enter a number from
0
to
100
.
Water/Gas Mains (Direct)
Please enter a number from
0
to
100
.
Water/Gas Mains (Subbed)
Please enter a number from
0
to
100
.
Other (Direct)
Please enter a number from
0
to
100
.
Other (Subbed)
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0
to
100
.
Projects
Do you perform work above 2 stories in height (other than interior remodel)?
*
Yes
No
What Percentage?
*
Max Height?
*
Please Describe
*
Do you or your subcontractors perform roofing work?
*
Yes
No
Have you performed, or will you or your subcontractors, perform any work below grade?
*
Yes
No
Maximum Depth (in feet)
*
% of Operations
*
Please enter a number from
0
to
100
.
Do you have a formal safety program in place?
*
Yes
No
Will any work involve the construction of or involvement with Condominiums or Townhouses?
*
Yes
No
Is condo work on New Construction or Repair or Remodel only?
*
New Construction
Repair or Remodel only
Is apartment work on New Construction or Repair or Remodel only?
*
New Construction
Repair or Remodel only
Number of units in the ENTIRE project
*
Please enter a number greater than or equal to
0
.
Have you ever worked in new Tract Developments?
*
Yes
No
How long ago
*
How many units in the entire development?
*
Any unusual exposures/operations not otherwise covered by this questionnaire?
*
Yes
No
Please explain other exposures
*
Losses and Claims
Are there any claims or legal actions pending against any of the entities?
*
Yes
No
Do any of the entities named in the application have knowledge of any pre-existing act, omission, event, condition, or damages to any person or property that may potentially give rise to any future claim or legal action against them?
*
Yes
No
Have you been accused of faulty construction in the past 5 years?
*
Yes
No
Have you been accused of breaching a contract in the past 5 years?
*
Yes
No
Finish
Consumer Disclosure
*
All the above statements made by me in this form are accurate and true to the best of my ability.
I Agree
Signature
Today's Date
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