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Coral Point Insurance Services
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Surety Bonds
LLC Bond
Builders Risk Insurance
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Home
Contractors Insurance
Contractors General Liability Insurance
Contractors Workers Compensation
Contractor Bonds
Surety Bonds
LLC Bond
Builders Risk Insurance
Tools and Equipment Insurance
Commercial Auto Insurance
Cyber Liability Insurance
Business Insurance
Business Owners Policy (BOP)
Business Workers Comp
Business General Liability Insurance
Cyber Liability Insurance
Commercial Auto Insurance
Surety Bonds
Certificates
Quote
Quote Now
Request a Call Back
Contact
CLOC Insurance Quote
What Insurance Are You Interested In (Select All That Apply)
*
General Liability
Workers Compensation
Contractor License Bond
$100,000 LLC Employee/Worker Bond
Personal Information
Contact Name
*
Phone
*
Email
*
Contractors License # (If Any)
Company FEIN #
Social Security #
Company Information
Company Name
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Is Premises Location Different Than Above?
Yes
No
Premises Location
Premises Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Does Insured Have Prior Insurance?
Yes
No
Prior Insurance Information
Current Insurance Carrier
Exp. Date of Current Insurance
MM slash DD slash YYYY
Expiring Premium
Any Gaps In Coverage Past 3 Years?
YES
NO
Business Operating Information
Estimated Annual Gross Receipts
Annual payroll FIELD EMPLOYEES
How Many Owners/Officers?
How Many FIELD Employees FULL TIME?
How Many FIELD Employees PART TIME?
Sub-Contracting Costs?
Liability Limits
2Mil/1Mil
1Mil/1Mil
1Mil/500K
500K/500K
300k/600k
How Many Years In Business?
None
1 Year
2 Years
3 Years
4 Years
5+ Years
Following 3 Questions Must Equal 100%
Residential
Commercial
Industrial
Following 4 Questions Must Total 100%
Service/Repair
New Construction
Non-Structural Remodeling
Structural Remodeling
Class Codes
Advise Class Codes Annual Employee Payroll For Each
Class Code
Employee Annual Payroll
Class Code
Employee Annual Payroll
Class Code
Employee Annual Payroll
Class Code
Employee Annual Payroll
Class Code
Employee Annual Payroll
Additional Questions
Do You Build New Custom Homes as a General Contractor/Developer?
Yes
No
Any Condo/Townhome Association Work?
Yes
No
Any Condo/Townhome New Construction Work?
Yes
No
Any Tract Home New Construction?
Yes
No
Any Losses In Last 4 Years?
Yes
No
Would You Like to Quote for Excess/Umbrella Coverage?
Yes
No
If B License, Framing Work %
Maximum Exterior Height?
Maximum Depth?
Description of Operations
Additional Comments and/or Questions
Attachment( Prior Forms, Claims, Quotes) you would like to provide us for a more accurate Quote
Max. file size: 1 MB.
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