Carter & Company - Insurance Managers

Carter & Copany, LLP -- Insurance Managers

Carter & Company - Insurance Managers
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Commercial Insurance Quote

Electrician's General Liability Insurance Quote

For the fastest and most accurate electrician's general liability insurance quote, please provide as much information possible in the form below. This information will be kept confidential and will be used for quote purposes ONLY!

If not in Texas, please click here to view a list of states in which we currently have non-resident licenses.
If your state is not listed then we would not currently have a market for you.

General Information
Name of Business:
Inspection Contact Name:
Mailing Address:
City: State:   Zip:
Location Address:
City: State:   Zip:
Business Phone:   Fax:
Contact Email Address:
*Social Security # or *FEIN:
*Required by insurance companies in order to quote
Business Status:   Years in Business:

Current Insurance Information
Company Name (not agency):   Premium: $
Effective Date:   Expiration Date:
Please List Any Other Previous Carriers Over the Past 3 Years Below:
Carrier Name:   Premium: $
Carrier Name:   Premium: $

Project/Work Information
Please write a Description of Operations below:
What percentage of your work is
(each line must total 100%):
Commercial %     Industrial %     Residential %
New Construction %     Remodel/Additions%
What percentage of your work is as a: General Contractor %     Subcontractor %
What percentage of your work is: Subcontracted Out %     Sub Costs: $
Do you collect certificates of insurance at a $1,000,000 limit?: Yes   No

Receipts / Payroll / Dollar Value Info
Gross receipts for the past 3 years:
and the next 12 months:
(3rd yr prior)    $   (2nd yr prior)    $
(Last 12 mths) $   (Next 12 mths) $
Number of owners/officers/partners
active at the jobsite or supervising:
Payroll of employees excluding
owners, officers, partners & clerical:
$
Dollar value of average job completed
incl. all materials, labor & equipment:
$
Describe any projects underway or planned
for the next year, including values below:

Miscellaneous and Legal Info
Have you ever performed ground up construction involving condominiums,
townhouses, apartments, or single family tract developments of two (2) or more?:
Yes   No
Have you ever been named in litigation regarding faulty construction?: Yes   No
Are there any claims or legal actions pending?: Yes   No
Do any of the entities named in the application have knowledge of any pre-existing act, omission, event, condition or
damages to any person or property that may potentially give rise to any future claim or legal action against any such entity?:
Yes   No

Coverages Desired
General Aggregate Limit of Liability Desired:
Each Occurrence Limit of Liability Desired:

Underwriting Questions
Do you operate a bucket truck?: Yes   No
Do you work on fire alarms, burglar alarms, automatic sprinkler design, install or repair emergency back-up equipment?: Yes   No
Do you work near or in airports or hospitals?: Yes   No
Do you work in or around nuclear plants, power plants or petrochemical plants?: Yes   No
Do you work in or around dams, bridges or rivers?: Yes   No
Do you draw plans, designs or specifications for others?: Yes   No
How many years of experience do you have in this class of work?:
Do you perform any other type of work?: Yes   No
What other types of work do you perform(if any)?:
What percent of your payroll is associated with other types of work?:
Do you subcontract any work to others?: Yes   No
Do you get certificates of insurance from subcontractors?: Yes   No
What type of work do you subcontract to others?:
What is the total annual estimated cost of work subcontracted to others?:
During the last three years, has any company cancelled, declined or refused to renew your insurance?: Yes   No
Is at least 75% of your payroll for electrical work?: Yes   No
Does your cost of hiring subcontractors exceed 25% of your receipts?: Yes   No
Do you have 2 or more years in business OR 5 years of related experience?: Yes   No
Do you have over 10 employees?: Yes   No

Claims History
Enter all claims or occurrences that may give rise to claims for the prior 3 years.
This information is kept strictly confidential
Claim #1 Claim Status: Closed   Open
Date of Occurrence:   Date of Claim:
Type/Description of Occurrence or Claim:
Amount paid on your behalf: $   Amount reserved on behalf: $
Claim #2 Claim Status: Closed   Open
Date of Occurrence: Date of Claim:
Type/Description of Occurrence or Claim:
Amount paid on your behalf: $   Amount reserved on behalf: $

Additional Comments
Please give any additional comments you feel appropriate for this quotation. If you have
additional information where there was not enough space, please enter them here.

Please click on the "Submit Quote" button to send your quote request.
One of our representatives will respond to your submission as soon as possible.

   

 

Important Note: This web site provides only a simplified description of coverages and is not a statement of contract. Coverage may not apply in all states. For complete details of coverages, conditions, limits and losses not covered, be sure to read the policy, including all endorsements, or prospectus, if applicable. Coverage CANNOT be bound, amended, or altered by leaving a message on, or relying upon, information in this Website or through E-MAIL.
         Carter & Company - Insurance Managers
522 E. Crockett, Luling, Texas 78648    Address:
522 E. Crockett
Luling, TX 78648
(Across from Post Office)
Carter & Company - Insurance Managers
P.O. Drawer 672, Luling, Texas 78648-0672    Mailing Address:
P.O. Drawer 672
Luling, Texas 78648-0672
Carter & Company - Insurance Managers
Phone: (830)875-3164 - Toll Free: (800)967-0972 - Fax: (830)875-9362    Phone:
Toll Free:
Fax:
   (830)875-3164
(800)967-0972
(830)875-9362
Carter & Company - Insurance Managers
Hours: Monday - Friday -- 7:30 am - 5:00 pm    Office Hours:
Monday thru Friday
7:30 a.m. - 5:00 p.m.
 
Carter & Company - Insurance Managers
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Carter & Company - Insurance Managers
Carter & Company - Insurance Managers