71 County St., Attleboro Massachusetts

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Contractors Insurance Quote Form
Providing Insurance Quotes in Attleboro, Massachusetts & surrounding area.
We have specialty programs for contractors who have been in business and have had insurance for at least one year with no claims.  We can also write start-ups or contractors who have not had prior insurance if they meet certain underwriting guidelines.  Following are some of the categories we have had success with:
  • Electricians
  • Plumbers
  • Painting Contractors
  • Landscapers (including plowing)
  • Masonry
  • Tile Installation
  • Janitorial & Cleaning Services
     
  • Janitorial & Cleaning Services
  • Flooring & Carpet Installation
  • Appliance Installation & Repair
  • Air Conditioning and Heating Installation/Repair
  • Lawn Sprinkler Installation
  • Handymen  and More...
  • We even have programs for General Contractors, Remodeling Contractors & Carpenters!
Business Name: *    Business Type: 
Type of Contractor:
Contact Name: *           * Required Fields
Address: *
City: * State: Zip:  
Telephone: *
Fax:
E-Mail: *
   
General Liability:  
Number of Owners/Partners:
Number of Full Time Employees: (Not including Owners)
Number of Part Time Employees:
Yearly Payroll: (if applicable)
Number of Years In Business:*
 
 
*If this is a start-up business, please list number of years principal has been in the industry:
 		  
 		 *Years of managerial experience in industry: 
 		  
 
Approximately what is the percentage of your receipts that comes from work you subcontract out to others?

Do you require Certificates of Insurance from your Subcontractors?
 		 % 

Yes    No 
 
Approximately what is the percentage of the your receipts that comes from the following types of clients:
 		 Residential %  Commercial  %  Industrial  %

 
Do you currently have insurance:
 		 Yes    No 
 
If Yes, with which insurance company?
When does current policy expire?
List any losses (claims) in past 3 years:
Annual Premium:
Liability Limit Desired:
   
Value of Tools & Equipment:
   
Business Auto      Thanks, but I don't need a business auto quote
Year, Make, Model of Vehicle(s):
Cost new of all Vehicles:
List all drivers Names, Driver's License # and Dates of Birth:
   
Workers Compensation:  Thanks, but I don't need a workers comp. quote
Payroll - Clerical/Office:
Payroll - Employees:
   
Additional Comments:

TERMS & CONDITIONS: Holman Insurance Agency, Inc. cannot bind, modify or cancel coverage via submissions to our website, or by messages sent through e-mail. Completion and submission of this form or e-mail does not constitute either a binder or an application for insurance. This site provides quotes and information only. An application signed by you and our agent is required for insurance to become effective.

Please submit only if you are seeking insurance in the Attleboro, Massachusetts or surrounding area.  If you're looking for an insurance quote from outside this area, you can find an Independent Agent in your area by clicking here

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