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Roofers Insurance Application

Submission of this information does not represent a binding of any insurance contract or agreement. Additional information may be required in order to get an accurate quote of insurance.

Business Details

Applicant Information:

Business Name:

Please confirm that all the following statements are accurate before proceeding:

  • No insurance has been declined, canceled, or non-renewed.
  • No claims have been made for the business, properties, or partners.
  • There are no known situations that could result in a claim.
  • No professional disciplinary actions involve the company or staff.
  • No other businesses require coverage.
  • No members have criminal convictions or ties to failed companies.
  • No bankruptcies involve the business or its members.
Confirmation:(Required)

3. Contact Information:

Business Address

Operational Information

4. Experience:

Operations and Receipts

5. Types of Roofing Work:

Please enter the amount of revenue per year for each service provided. If you do not do the service please click work not performed. If you are just starting please put an estimated amount you expect to generate.
Hot – Built‐up Roofing ‐ Revenue:
Hot – Built‐up Roofing work not performed

Hot Mop ‐ Revenue:
Hot Mop work not performed

Hot Air Membrane ‐ Revenue:
Hot Air Membrane work not performed

Torch on Membrane ‐ Revenue:
Torch on Membrane work not performed

Cold Shingle, Metal Roofing ‐ Revenue
Cold Shingle, Metal Roofing work not performed

Cold Membrane & EPDM ‐ Revenue:
Cold Membrane & EPDM work not performed

What Percentage of All Work is – Please enter the percentage. :

Please enter a number less than or equal to 100.
Please enter a number less than or equal to 100.
Please enter a number less than or equal to 100.

Totals:

6. Geographical Range of Operations:

%
% (Indicate NIL if not applicable)
%

Job Details

7. Describe Hot Air Membrane Process

8. Percentage Split of Work:

%
%

9. Any other off-premises work or operations (e.g., sheet metal)? Describe:

10. Does your business engage in the removal & disposal of asbestos (in any form)?

10. Do you engage in the removal & disposal of asbestos (in any form)?(Required)

Safety and Training

11. Safety Program:

Do you have a safety program for new employees?(Required)
Do you provide ongoing training for all employees?(Required)

12. Fire Prevention Measures:

Do you do any work that generates heat or flame?
Are portable smoke detectors used?(Required)
Are spray-on fire retardants used?(Required)
Is smoking prohibited on roofs?(Required)
Is a supervisor present during operations involving hot equipment or torches?(Required)
Are only trained personnel allowed to handle propane tanks?(Required)
Are all propane tanks equipped with approved, operational safety valves?(Required)
Are torch system manufacturers’ recommendations followed?(Required)
Are roofing material manufacturers’ recommendations followed?(Required)
Are hot trowels used for finish work around details instead of torches?(Required)
Are torch stands used?(Required)
Is each torch equipped with a functioning ULC-listed regulator?(Required)
Is equipment fitted with operational pressure gauges?(Required)
Are hot air welders or electric heat seaming devices used?(Required)

13. Water Damage Prevention:

Operations Review

14. Work Inspections:

Are all jobs inspected at the end of each day and upon completion?(Required)

15. Specialized Operations

Do you engage in the following? (Check all that apply) OR None of the Above #10 if Nothing:
1. Structural and Foundation Work:
2. Underground and Heavy Construction
3. Specialized Systems and Insulation
4. Hazardous or High-Risk Activities
5. Elevated and Specialty Locations
6. Heat or Flame-Generating Work
7. Public and Institutional Work
8. Seasonal or Location-Specific Work
9. Design or Architectural Work
10. None of the Above(Required)

Describe the type of work done, how much it accounts for your business % wise and any precautions.
Average Job Size Including Average Contract Value and Type of Work
Largest Job Size Including Largest Contract Value and Type of Work
19. Are all operations conducted in conformity with Standard Industry Practices? Yes / No(Required)

Employment and Subcontractors

20. Employees:

Are all employees covered under WSIB?(Required)

21. Subcontractors:

Do you subcontract any work?(Required)
How Much of Your Annual Revenue is Subcontracted Out
Describe All Work Performed by sub-contractors
Are formal contracts used with sub-contractors?(Required)
Do contracts include a hold-harmless clause in your favor?(Required)
Are Certificates of Insurance obtained from all subcontractors confirming at least $2 million in liability insurance?(Required)

Other Exposures

22. Non-Owned Automobile Use:

Number of employees using their automobile for business purposes:
(this is the cost of renting vehicles for hire)

Coverages Required

1. Commercial General Liability (CGL)(Required)
Protects contractors from financial losses if a third party gets hurt or property is damaged because of their work. It covers medical bills, legal fees, and repair costs for accidents like a client tripping over tools or a damaged window during a project. However, it doesn’t cover injury to employees or owners or fixing poor workmanship.
2. Tools Coverage (Optional):
Protects your tools if they’re stolen, damaged, or lost. It helps cover the cost of repair or replacement, whether your tools are taken from a job site or accidentally broken during work. However, it doesn’t cover normal wear and tear or intentional damage. Coverage is usually on an actual cash value basis. Usually will not pay more than $1,500 per item.
3. Equipment Coverage(Optional):
Protects larger equipment, like machinery or specialized gear, from damage, theft, or loss. It helps cover repair or replacement costs if your equipment is stolen, damaged in an accident, or affected by events like fire or vandalism. However, it doesn’t cover wear and tear or mechanical breakdowns. Coverage is usually on actual cash value basis. Requires info about each piece such as serial, make and model of each equipment to be insured.
4. Installation Floater(Optional):
Installation Floater Limits:
Protects materials, equipment, and supplies while they’re being installed or in transit to the job site. It covers losses from theft, damage, or unexpected events like fire during the installation process. However, it doesn’t cover faulty workmanship or design flaws. This coverage ensures you’re not out of pocket if something happens to your materials before the project is complete
5. Pollution Liability Coverage(Optional):
Pollution Liability Limits:
Protects your business from claims related to pollution caused by your work, like spills, leaks, or contamination. It covers cleanup costs, legal fees, and damages if the pollution harms people, property, or the environment. However, it doesn’t cover intentional violations or long-term environmental issues. Typically requires a separate policy with a speciality insurance company.
6. Employee Dishonesty Coverage(Optional):
Employee Dishonesty Limits
Protects your business if an employee steals money, property, or other assets. It helps cover financial losses from theft and fraud committed by your staff. However, it does not cover mistakes, errors, or negligence, nor does it provide protection for dishonest acts committed by business owners, partners, or executives.
7. Errors & Omissions (E&O) Coverage (Optional):
E&O Limits:
Protects your business if a client claims you made a mistake, gave bad advice, or didn’t deliver as promised. It covers legal fees, settlements, and damages related to professional negligence or missed deadlines. However, it doesn’t cover intentional wrongdoing or physical injuries. This coverage is essential for professionals who provide advice or services, helping protect against costly disputes. Typically requires a separate policy.
8. Non-Owned Auto Liability(Optional):
Non-Owned Auto Liability Limits
Protects your business against liability claims arising from employees or others driving their personal vehicles for business purposes. It does not cover damage to the personal vehicle itself.
9. Umbrella or Excess Liability Coverage (Optional):
Umbrella/Excess Limits:
Provides additional liability coverage beyond the limits of your primary insurance policies, protecting your business against large claims or lawsuits.
10. Business Interruption Coverage Due to Insured Risks? (Optional):
Provides additional liability coverage beyond the limits of your primary insurance policies, protecting your business against large claims or lawsuits.
11. Cyber Liability (Optional):
11. Cyber Liability (Optional):
Protects your business against financial losses from data breaches, cyberattacks, and other digital threats, covering costs like notification, legal fees, and recovery, but does not cover intentional acts by employees or prior known vulnerabilities.
Consent(Required)

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