Applications

Please see a brief list of Supplemental Applications listed below. Please contact our office for additional applications pertaining to specialized risks.

General Contractors

Contractor Supplemental

Agency Email

Agency Name

First Named Insured

DBA

Insured Mailing Address

Insured Physical Address

Years in Business as Current Entity

Total Years of Related Experience

Insured FEIN or Tax Number

Number of claims in last 3 years:

Details of claims (if any):

Description of ALL Operations:
Please provide specific terms rather than “remodeling” or “general contractor”

What percent of work is residential?

What percent of work is commercial?

What percent of work is NEW construction?

What percent of work is remodeling or repair?

Other? Please explain.

Any new condo/townhome work?

If so, what percentage of operations is new condo/townhome and is this work 100% insured under a WRAP?

Any remodel/re-pair for condo or townhome HOAs?

Is there any work over 3 stories? If yes, maximum height?

Is there any EIFS work?

Is there any smoke, fire or water restoration?

Is there any utility construction?

Is there any demolition or abatement work?

Estimated Gross Receipts for Next 12 Months:

Estimated Subcontracted Costs:

- Describe work performed by subcontractors:

Estimated Payroll: Please separate owner vs. non-owner and breakout payroll by class code

- Describe work performed by employees:

Tract Home % breakdown, custom, apartments, condo/townhomes

Upload Additional Documents
Artisan Contractors

Artisan Contractor Application (PDF)

Roofer Supplemental Application (PDF)

Snow & Ice Removal Contractors

Swimming Pool Contractors
Builders Risk

Builder’s Risk New Ground & Up Application (PDF)

Builder’s Risk Renovations Application (PDF)
Environmental Contractors & Pollution Liability

Environmental Consultant Application (PDF)

Monoline Pollution Liability Application (PDF)

Environmental Application
Energy & Heavy Commercial Construction

Energy Contractor & Consultant Application (PDF)

Crane & Heavy Construction Application (PDF)
Miscellaneous Applications

WRAP Application (PDF)

Developer Application (PDF)

Project Specific Application (PDF)

Small Crane Construction Application (PDF)
Workers' Compensation

No Prior Questionnaire

Supplemental Application

Applications

Applications

Please see a brief list of Supplemental Applications listed below. Please contact our office for additional applications pertaining to specialized risks.

Send us a Message

Contact Information