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.
  • Covers against very large losses
  • Provides additional coverage beyond other policies a business has
  • Higher limits are often required by commercial contracts
  • Needed by contractors with a lot of liability exposure
More Info >>

 

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
Eligibility Questions Yes No
Do you do any new residential work?  
Are you underlying limits at least $1,000,000?   
Is the underlying carrier rated A V or better?   
Do you have annual receipts greater than $7.5 Million?   
Do you have any record of claims in the last 5 years that exceeds $50,000 for any single loss; or $100,000 aggregate within any 1 year for any one paid in the past line of coverage?   
Do you work on any apartment or habitation risks greater than 3 stories?   
Do you work on any OL&T risks that exceeds 50,000 square feet at any single location?   
So you construct buildings exceeding three stories in height or more than 250,000 square feet in area?   
Do you have 10 (or less) automotive power units and a radius of operation less than 200 miles?   
Primary GL Class
 
If non-contractor class, please select your class from below
Underlying Auto Liability Premium  
Number of Vehicles
Private Passenger,
Light, or Medium 		   Heavy  
Radius  
Underlying GL Premium   
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: