Contractors Application This form is for quotation purposes only and is not a binding of insurance contract or agreement. Additional information may be necessary for a quotation. Contact InfoName* First Last Phone*Email Business NameAddress* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Business InfoHave you ever had a claim or have had insurance cancelled or refused Yes. No. Please describeIf you have had a claim please describe what happened, the date and the total value in $ of the claim. If you have had insurance denied or refused please describe why.Business Trade/OperationsOtherAppliance RepairBricklayersCabinet MakersCarpenterCarpet InstallerCarpet CleaningCaulkingCementCleanersData Cable InstallerDeck ConstructionDrain CleanersDriveway SealersDrywallDuct CleaningEavestroughsElectriciansExcavationFenceFlooringFramersFurniture RestorationGarage DoorGeneral ContractorGlassHome StagingHouse BuildingHVACLandscapingLawn Sprinkler InstallationLocksmithsMasonryPaintingPavingPlumbersRoofingSidingSign InstallationSnow RemovalStuccoSwimming PoolTilingTree RemovalTrimUnderpinningWater SofteningWaterproofingWindow and DoorsWindow CleaningPlease select your business operation. If none of these apply or more than 1 can apply please click other and describe.Other – Please describeYears Experience in TradeYears in BusinessNumber of EmployeesAnnual Revenue in $% Of your Work/Revenue that is Residential% Of your Work/Revenue that is CommercialWhat is the maximum height(storeys) you will work 1 2 3 4 5+ Do You Hire Sub-Contractors? Yes No % Of Your Work that is Sub Contracted OutDo You Request Proof Of Liability Insurance of at least $2 Million Dollars from a Sub Contractors? Yes. No. CoveragesLimit of Liability Insurance Required* $2 Million $5 Million Over $5 Million Over – Please list $ AmountAdditional Comments
