Woods Insurance

 

Click for General Liability info.

Business Information
Contractor Type

Contact Name
E-mail
Company
Street address
City
County
State
only quoting Texas businesses at this time
Zip Code
Home Phone
Work Phone
FAX

Operations Description
Applicant is :
Individual   Partnership   Corporation
Description of Operations
Duties of Owner
S.S. Number or FEIN
Contractor License #
Number of Employees  (Excluding Owners & Clerical, if any)
Full Time    Part Time 
Payroll of Employees  (Excluding Owners & Clerical, if any)
Annual Gross Receipts
Years of Experience
Years in Business
Sub-contractors used?
Yes No
Type of Work (Sub-contractors)
Total Cost (Sub-contractors)
yearly average
Do you get a Certificate of Insurance from Sub-contractor?
Yes No
Percent of Work Done

Inside   Outside  
Residential   Commercial  
New Construction Remodel/Repair  

 (must equal 100%)

(must equal 100%)

(must equal 100%)

General Liability Limits
Each Occurrence/Aggregate


Deductibles
What would you like your deductible to be?


Contractors Equipment and Tools (Optional, if coverage is desired)
Contractors Equipment 
           Scheduled  (i.e.  $50,000)
Contractors Tools 
Blanket/Unscheduled  (i.e. $25,000)

Current Liability Insurance Information
Current Insurance
Expiration Date
Premium

Have you had any losses within the last three years? Yes No