You can also call us to get a quote by phone or to have any of your questions answered
888-900-9989
Day(s) Hours
Monday - Thursday 7:00 a.m. - 7:00 p.m.
Friday 7:00 a.m. - 5:00 p.m.
  • Often required to get a particular job
  • Protects business for the expense of injury and property damage to others
  • Contractors are required to disclose to homeowners whether they carry CGL
  • SIA will make sure you understand the differences between the many kinds of policies that exist

 

Business Name  Quote Needed By
  
Owners Name  Years Of Exp.
 
Address (No P.O. Box)
City  State  Zip  County
     
 Phone Number  Fax Number  Cell/Pager Number
   
Active E-mail Address
Preferred Method Of Contact
    Mail:    Fax:    Phone:    E-mail:  
Lic. # or App. Fee # Classification Entity (check one)

Partnership
Sole Owner
Corporation
Describe The Scope Of Your Work/Operation
 Number Of Owners
 Active In The Field:		  
Number Of Employees
Full Time:
Part Time:
 
Percentage Of Commercial Work:      %
New Construction   %  Remodel   %  Service Repairs   %
Percentage Of Residential Work:     %
New Construction   %  Remodel   %  Service Repairs   %
IF YOU ARE A PAINTER OR ELECTRICIAN:
Percentage of inside work   %  Percentage of outside work   %
What Trades Do You Sub Out?
Percentage Of
Commercial Work:		   %
Percentage Of
Residential Work:		   %
Your Financial Estimate For The Next 12 Months
Gross Receipts   Field Payroll    Subcontractor Cost  
Do you plan to work on:
(Please check all that apply)  		  New Contract Homes    Condos    Apartments
Number Of Units Per Project    Percent Of Gross Receipts   %
Do you do any roofing or roofing repairs    Yes     No
What limits of general liability are you interested in? (Check choice/choices)
 $300,00 / $500,000    $500,000 / $1,000,000
 $1,000,000 / $1,000,000    $1,000,000 / $2,000,000
Carrier with a rating of:  Current Carrier:  Policy Expires:
   
How did you hear about Skyles Insurance Agency?
 Construction Services Economy Bonds Mail Flyer
 Post Card Friend Already a Customer
 Web Search Phonebook
 Other:  
Comments: