Roofing Contractor Quote

IF YOUR AN ROOFING CONTRACTOR...  You're at the right place!!!
 
We are HERE to help you with coverage designed for ROOFING CONTRACTORS
 

 
      
IF YOU ARE... WE'VE GOT YOU COVERED!!!


  SEE BELOW (We have an EASY way to request a QUOTE ONLINE!)

 

Looking for a Professional Agent who Specializes in Roofing Contractors, then you found a GREAT AGENCY to help!

 

 

 

If you need other types of contractors insurance coverages, HEALD INSURANCE is your one-stop-shop! 
 

 

 

 

Excess General Liability Coverage (For Limits Above $1,000,000)
Workers Compensation
Contractors License Bond
Individual or Small Group Health Insurance 
 

 

We provide artisan contractors who specialize in a specific construction trade very competitively priced General Liability coverage!  We are very happy to provide you a quote if you're based here in California.  We just need YOU to provide us some simple information below so that we can understand your business needs in advance to speaking to you.  Obviously the more complete info, the better!  This will enable us to prepare a more accurate preliminary quote (saving us both valuable time) prior to Steve personally contacting you to review it by phone. 

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GENERAL LIABILITY FORM

PLEASE provide us these SIMPLE answers below, then we can get a new quote started right away!
Your infomation will always kept secure and confidential and only be used for this quote request.  This information will NOT be shared!
(Please correct any default answers that are not accurate) 

Basic Business Information Business Owners Name* Additional Owners/Partners Name Entity Type    Please SelectIndividual - Sole ProprietorshipPartnershipCorporationLimited Liability Corporation (LLC)Joint VentureAssociationOther Your DBA Business Street Address City/Town, State and Zip Code    Business FEIN# (Federal Employer ID No.) NONE Contractors License Number* NONE Preferred Contact Phone #*    CellHomeWorkOffice Best Time to Contact    Please SelectMorning Before 10AMMorning 10-12Afternoon 12-3Afternoon 3-5Evenings 5-7ANYTIMEContact ASAP, Urgent!Email ONLY Please! Email Address* How Many YEARS Have You OWNED THIS Business?    Please SelectNew in Business123456789101112131415161718192021222324252627282930+ How Many YEARS EXPERIENCE in this Specific Construction Trade?    Please SelectNone - New in Business!123456789101112131415161718192021222324252627282930+ How Did You Find Us? (or Referred By Whom...?)    Please SelectFace to Face ContactOther Trade ContractorGeneral ContractorGoogle SearchReferred by FriendCurrent ClientLinked InFacebookOther    Referral Source: Business Website Address    www. .com.net.buz Current G/L Insurance Status    Please SelectNo Lapse in Coverage1-30 Days Lapse in Coverage30+ Days Lapse in Coverage1+ Year - No CoverageNever Had Coverage Who is Your Current Insurance Company? NONE When is the Expiration Date of Your Current Policy?    JanFebMarAprMayJunJulAugSepOctNovDec 12345678910111213141516171819202122232425262728293031 20132014201520162017201820192020 Do You Have Recent Loss Runs? Yes No

General Construction Information Which Trade TYPE of Construction Do You Specialize Most?*    Please SelectExcavation & GradingConcreteFramingRoofingSheet Metal & GuttersHVACStucco & MasonryElectricalPlumbingPhone/Alarm/InternetInsulationSheetrock/DrywallTape & TextureTile & GraniteFinish Carpentry & Install CabinetsPaintingHardwoodCarpet & LinoleumNew Hardscape/LandscapePool/Spa ContractorDebris Removal & Clean UpFencingLandscape MaintenanceJanitorialSepticGENERAL - 80%+ Sub Work OutHandyman - Unlicensed Structure Type: Residential or Commercial Construction?    Please Select100% Residential95% Residential, 5% Commercial75% Residential, 25% Commercial50% Residential, 50% Commerical25% Residential, 75% Commercial5% Residential, 95% Commercial100% Commerical New Construction Vs. Re-Model Work (Including Structual Additions)?    Please Select100% New Constrcution95% New, 5% Re-Model Work75% New, 25% Re-Model Work50% New, 50% Re-Model Work25% New, 75% Re-Model Work5% New, 95% Re-Model Work100% Re-Model Work What Percentage of Your Reciepts is from SERVICE/REPAIR Type Work?    Please Select100% SERVICE/REPAIR WORK95% SERVICE/REPAIR, 5% New75% SERVICE/REPAIR, 25% New50% SERVICE/REPAIR, 50% New25% SERVICE/REPAIR, 75% New5% SERVICE/REPAIR, 95% NewNO SERVICE/REPAIR WORK Do You Perform Work on any NEW TRACK Developements or Subdivisions? Yes No Do You Perform Work on any NEW Apartments, Condominiums or Townhouses? Yes No Do You Perform Work on Buildings Over 5 Stories? Yes No Do You Perform Work on Highways, Bridges, Public Roads? Yes No Do you Perform Work on Traffic Signals or Controls? Yes No Do You Perform any Industrial Work? Yes No In Past 2 Years have You Built a Structure as a General Contractor, Developer, Construction Manager or do you plan to do so? Yes No Do You Do Work Covered Under A "WRAP" (more then 15% of planned jobs)? Yes No

Important Rating Information  Number of Active Owners?* (Include All Partners or Corporate Officers)    12345678910 Number of FULL-TIME Employees?  (30+ hours per week)    012345678910111213141516171819202122232425262728293031 Number of PART-TIME Employees? (<30 hours per week)    012345678910111213141516171819202122232425262728293031 Estimate Projected ANNUAL GROSS RECEIPTS? (For the Next 12 months) Has Gross Receipts Exceeded $1,500,000 in Any of the Past 2 Years? Yes No Are Any ONE Current or Planned Contract Job VALUED Over $750,000 Yes No What is the VALUE of Your Largest Job in the PAST 3 Years? What is the VALUE of Your Largest CURRENT or PLANNED Job? Estimate Your Subcontracting Cost for the next 12 Months? Do You Require ALL Subcontractors to name you as "Additional Insured"? Yes No Any Bankruptcies or Tax or Credit Liens Within the Past 5 Years? Yes No Estimated # of Additional Insured's You Need Listed on This Policy?    012345678910111213141516171819202122232425262728293031 Any Claims in the Past 3 Years?* Yes No If YES, Please Describe Damage and the Amount Paid on Claim (Estimate)

 

Please Use This Section For Multiple Classifications of Construction ONLY  Classification Number 1:   Please SelectExcavation & GradingConcreteFramingRoofingSheet Metal & GuttersHVACStucco & MasonryElectricalPlumbingPhone/Alarm/InternetInsulationSheetrock/DrywallTape & TextureTile & GraniteFinish Carpentry & Install CabinetsPaintingHardwoodCarpet & LinoleumNew Hardscape/LandscapePool/Spa ContractorDebris Removal & Clean UpFencingLandscape MaintenanceJanitorialSepticGENERAL - 80%+ Sub Work OutHandyman - Unlicensed    Est. Annual Receipts Classification Number 2:   Please SelectExcavation & GradingConcreteFramingRoofingSheet Metal & GuttersHVACStucco & MasonryElectricalPlumbingPhone/Alarm/InternetInsulationSheetrock/DrywallTape & TextureTile & GraniteFinish Carpentry & Install CabinetsPaintingHardwoodCarpet & LinoleumNew Hardscape/LandscapePool/Spa ContractorDebris Removal & Clean UpFencingLandscape MaintenanceJanitorialSepticGENERAL - 80%+ Sub Work OutHandyman - Unlicensed    Est. Annual Receipts Classification Number 3:   Please SelectExcavation & GradingConcreteFramingRoofingSheet Metal & GuttersHVACStucco & MasonryElectricalPlumbingPhone/Alarm/InternetInsulationSheetrock/DrywallTape & TextureTile & GraniteFinish Carpentry & Install CabinetsPaintingHardwoodCarpet & LinoleumNew Hardscape/LandscapePool/Spa ContractorDebris Removal & Clean UpFencingLandscape MaintenanceJanitorialSepticGENERAL - 80%+ Sub Work OutHandyman - Unlicensed    Est. Annual Receipts Classification Number 4:   Please SelectExcavation & GradingConcreteFramingRoofingSheet Metal & GuttersHVACStucco & MasonryElectricalPlumbingPhone/Alarm/InternetInsulationSheetrock/DrywallTape & TextureTile & GraniteFinish Carpentry & Install CabinetsPaintingHardwoodCarpet & LinoleumNew Hardscape/LandscapePool/Spa ContractorDebris Removal & Clean UpFencingLandscape MaintenanceJanitorialSepticGENERAL - 80%+ Sub Work OutHandyman - Unlicensed    Est. Annual Receipts

~ PLEASE SELECT THE COVERAGE LIMITS ~

QUOTE REQUEST: Select Your Desired Coverage:    General Liability Limits (Per Occurrence/Aggregate/Products & Completed Operations) Please Select$1,000,000/$2,000,000/$2,000,000$1,000,000/$2,000,000/$1,000,000$1,000,000/$1,000,000/$1,000,000$500,000/$500,000 Fire Damage Liabilty Please Select$100,000$75,000$50,000 Medical Payments Please Select$1,000$2,000$5,000$10,000 Deductible (Property Damage and/or Bodily Injury) Please Select$1,000$1,500$2,500$5,000$10,000None Per Claim Faulty Workmanship Coverage (Contractors Errors and Omissions) Please SelectNo Coverage$10,000 Remove PRIOR Completed Work Exclusion Yes No Remove Earth Movement Exclusion (Subsidence) Yes No Other Contractor Type Policies You Maybe Interested? Commercial Vehicles Contractors Tools and Heavy Equipment Course of Construction  Excess General Liability Workers Compensation  Contractors License Bond Individual Health Insurance Small Group Health Insurance Other Personal Lines Policies You Maybe Interested? Personal Auto Primary Homeowners Non-Owner Occupied Homeowners Renters Insurance Life Insurance Recreational Vehicles (Boats, RV's, etc) Any Additional Comments and/or Requests:

* = Required Field

- THANK YOU -

We Really Appreciate Your Business!!!

Steve will personally be in contact with you shortly.