How To Get Insurance For A Contractor

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Jemimah O’Neal’
3 years ago
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1 Contractors Insurance Toolbox Please completed information to the following: or fax to General Instructions: This form is intended for contractors whose current business has 3 years of operational history or less. If your current business has been around for a few years, please fill out the Veteran Contractors application. Yes it s longer, but we will need to get the information sooner or later. The following information will aide us in obtaining a specific quote/ and or coverage for your business. Please be as complete as possible. Generally speaking, if you see a question about an item you are not familiar with, simply mark it as not applicable or NA. If really confused, simply put a? and we will respond if there is an issue. Some of the questions enclosed are to determine if you are eligible for certain discounts. Please let us know as much information as you can to help us achieve the best coverage at the best premium possible. General Business Information: Business Name DBA (if any) Web Address Mailing Address City State Zip County Owner/Principle Contact Business Phone Mobile Phone Federal Employer ID Number Date your business started (or will start) Type of Business: S Corp C Corp Partnership Joint Venture LLC Other Number of full time employees part time office staff (if any) What license(s) will you hold for the next 12 months? What percentage of your work could be classified as the following? Handyman General Contractor Subcontractor (total should = 100%) Residential Commercial Industrial (total should = 100%) New Construction Renovation (total should = 100%)

If your current business has been around for a few years, please fill out the Veteran Contractors application. Yes it s longer, but we will need to get the information sooner or later.

2 - 2 - What percentage of your work is in the following areas? (total should = 100%) General Contracting/ Supervision Miscellaneous home repair Roofing HVAC Carpentry/Framing Tile Plumbing Electrical Concrete/Masonry Site Work Demolition Painting/ Waterproofing Other Do you have any of the following (check any or all that apply): o Safety Program o Pre employment drug testing o Subcontractor agreement o Employee handbook General Liability Questions: Limits: State Minimum is $300K. We quote $2,000,000/$1,000,000 per occurrence minimum for our clients because the rates are almost the same. Do you want higher limits? Yes/No If so, how much? Does your work involve any of the following (check ones that apply): o Underground excavation below 4 feet o Condominiums or Apartments o Work on 4 story or taller buildings or any work above 40 feet above ground? o Tunneling o work on or near a railroad o explosives (like C-4, dynamite, ANFO, NOT gasoline) o frequent use of cranes (more than once a year) o use of large quantities of toxic or volatile chemical o work in foreign countries o EIFS o Designing or engineering any aspect of a job that would typically require an architect or engineer to stamp your plans o Storing materials that have already been purchased by your customer and stored for extended periods at your location?

Other Do you have any of the following (check any or all that apply): o Safety Program o Pre employment drug testing o Subcontractor agreement o Employee handbook General Liability Questions: Limits:

3 - 3 - Describe your typical work/job you perform (feel free to add pages or include pictures) Are you ever asked to provide Certificates of insurance to anyone? If so, how many and how often? Yes/No Are you ever been asked to list anyone as an Additional Insured on your insurance? Yes/No If so, how often? If you are unfamiliar with what Additional Insured is, the answer is probably no. Have you or will you ever be asked to provide a Waiver of Subrogation Yes/No Have you or will you ever be asked to provide Per Project Limits Yes/No Do you provide Employee Health benefits or Disability Insurance to your employees (if any)? Yes/No Is your physical address different from your mailing address? If so, please indicate your physical address. This can be a shop, an office, storage unit, or even your home address. Would you consider yourself more of a consultant than a GC, subcontractor, or handyman? Yes/No How much payroll do you estimate you will have each year - not including yourself)? How much would you estimate you pay to subcontractors a year (if any)? Describe the type of work you typically subcontract

Have you or will you ever be asked to provide a Waiver of Subrogation Yes/No Have you or will you ever be asked to provide Per Project Limits Yes/No Do you provide Employee Health benefits or

4 - 4 - Tool Questionnaire: Your General Liability policy will not cover any of your equipment or tools should they be stolen or disappear from your job site. If you would like to obtain coverage for these items, we will need to know a little bit more information. Tools are typically divided into two main categories: scheduled and unscheduled. The rate for scheduled tools is typically about 20% lower; however most people do not like to keep very detailed lists of every single screwdriver and wrench they own. Generally most contractors put any tool above $1000 in value on their Scheduled list. Therefore, any smaller tools you have left are usually best to put on your unscheduled tool list. This list is simply a dollar value that you will give us, and your quote will be based off of the dollar amount given. What is your TOTAL value you want insured for all of your scheduled tools? Note: You need to attach a schedule to obtain a quote for Scheduled tools What is your TOTAL value you want insured for your unscheduled tools? Commercial Automobile Questions Please note: Auto policies are quoted on an annual basis! Are all of your vehicles titled in the name of your business? Yes/No If any are not, you will need to Lease them to your company or transfer the title if you want them covered under the Business Auto Policy. Will you or a household family member continue to also have a Personal Auto Policy in force during the same time? Yes/No Do you have any kids nearing 16 years old in your household? Yes/No Please provide the following information on your vehicle(s). If you need more room, please attach additional pages as needed. You may also us an excel spreadsheet if that s more convenient. Please include any trailer that has a license plate and/or is registered with the DMV. Vehicle #1 Type of vehicle (ex: sedan, truck, SUV, dump truck, semi, trailer) Used primarily for Business/Personal use (circle one) VIN #: NOTE: PLEASE BE EXTRA CAREFUL TO GET THIS NUMBER CORRECT! Year Make Model Est. Cost New GVW

The rate for scheduled tools is typically about 20% lower; however most people do not like to keep very detailed lists of every single screwdriver and wrench they own.

5 - 5 - Longest distance you will typically travel to job sites miles Is this vehicle leased either to yourself or through another company (ex: GMAC financing) Yes/No If yes, please include their information Is this vehicle garaged at your business address? Yes/No If no, then please list the address where the vehicle will primarily be kept when not in use Do you have any special equipment such as ladder racks, cherry picker, toolboxes, or aftermarket dump bed that is attached to the vehicle? Yes/No If yes, please list what the item is and what you estimate the replacement cost would be. Vehicle #2 Type of vehicle (ex: sedan, truck, SUV, dump truck, semi, trailer) Used primarily for Business/Personal use (circle one) VIN #: NOTE: PLEASE BE EXTRA CAREFUL TO GET THIS NUMBER CORRECT! Year Make Model Est. Cost New GVW Longest distance you will typically travel to job sites miles Is this vehicle leased either to yourself or through another company (ex: GMAC financing) Yes/No If yes, please include their information Is this vehicle garaged at your business address? Yes/No If no, then please list the address where the vehicle will primarily be kept when not in use Do you have any special equipment such as ladder racks, cherry picker, toolboxes, or aftermarket dump bed that is attached to the vehicle? Yes/No If yes, please list what the item is and what you estimate the replacement cost would be. Please attach additional pages if you have more vehicles.

Yes/No If no, then please list the address where the vehicle will primarily be kept when not in use Do you have any special equipment such as ladder racks, cherry picker, toolboxes, or aftermarket

6 - 6 - Drivers Please list any drivers and include the following information for anyone that you will be authorizing to drive company vehicles. If needed attach extra driver on a separate sheet First Last Birth Date Gender Marital Status License State Driver License Number Has this driver had any tickets or accidents during the last 3 years? If so, please explain First Last Birth Date Gender Marital Status License State Driver License Number Has this driver had any tickets or accidents during the last 3 years? If so, please explain First Last Birth Date Gender Marital Status License State Driver License Number Has this driver had any tickets or accidents during the last 3 years? If so, please explain As a contractor, the most likely place you will ever have a claim is your Auto Policy (just ask John Morgan). The standard limit we quote starts at $500,000. Do you require higher limits? Yes/No If yes, what limits do you need? Do you rent vehicles for business use? (Ex: Budget Rental 24 ft box truck) Yes/No If yes, what type and how often?

If so, please explain First Last Birth Date Gender Marital Status License State Driver License Number Has this driver had any tickets or accidents during the last 3 years?

7 - 7 - Workers Compensation: Are you going to require a worker s compensation quote? Yes/No If yes, are you planning to exempt any owners? Yes/No If so, we need to know the following: Name Ownership % Work Duties SS# (The State of FL asks for this) Include or Exempted? If you want a quote, do you know what your NCCI class codes are? (Ex: 5606 Executive Supervisor) If so, please list them. What will be your estimated annual payroll for work you self-perform? What will be your estimated annual cost/payroll for work you supervise? What will your estimated annual payroll be for clerical employees, estimators, and any other employees that do not leave your office? Were you ever the owner of a company that had prior Work Comp coverage? Yes/No Print your name Date Signature Please send the completed form to the following: ed@constructionprosins.com Construction Pros Attn: Ed Collins

(Ex: 5606 Executive Supervisor) If so, please list them. What will be your estimated annual payroll for work you self-perform? What will be your estimated annual cost/payroll for work you supervise?

James Villanueva / Street Address: City/State/Zip: Street Address: City/State/Zip: Name: Email: Phone Number: Fax Number:

James Villanueva / Street Address: City/State/Zip: Street Address: City/State/Zip: Name: Email: Phone Number: Fax Number: / For Office Use Only Producer Email Telephone q James Villanueva jamesv@piag.org 404-838-8554 q Lamar Coates lamar@piag.org 678-816-1170 Date Submitted Date Requested PIAG INSURANCE SERVICES James Villanueva