Contractor Insurance

General Contractor Insurance Quote

Get comprehensive coverage designed specifically for general contractors. Complete the form below and our construction insurance specialists will provide you with competitive quotes from carriers who understand the construction industry.

1 Contact Information

Contact Name *

Title / Position

Email Address *

Phone Number *

Company Name *

Business Address *

City *

State *

Zip Code *

2 Business Information

Years in Business *

Business Entity Type

Contractor License Number *

Federal Tax ID (EIN)

Annual Gross Revenue *

Annual Payroll *

Website (if any)

Years of Owner Experience in Construction

3 Project Types & Operations

Types of Projects (check all that apply) *

Single Family Residential Multi-Family Residential Commercial Buildings Retail / Restaurant Industrial / Warehouse Office Buildings Healthcare / Medical Educational / Schools Government / Municipal Tenant Improvements / Build-outs

Type of Work Performed (check all that apply) *

New Ground-Up Construction Remodeling / Renovation Additions Design-Build Projects Construction Management Site Work / Grading Demolition Spec Home Building

Percentage of Work by Type *

Residential %

Commercial %

Industrial %

Largest Single Project Value (past 3 years)

Average Project Value

Maximum Building Height

Projects Per Year (approx)

4 Employees & Subcontractors

Total Employees *

Field / Labor

Office / Admin

Project Managers / Superintendents

Owners / Officers Working

Subcontractor Usage

Percentage of Work Subcontracted *

Annual Subcontractor Costs

Do you verify subcontractor insurance?

Do you use written subcontract agreements?

Current Experience Modification Rate (EMR)

5 Vehicles & Equipment

Pickup Trucks / Vans

Dump Trucks / Heavy Trucks

Trailers

Heavy Equipment Owned (check all that apply)

Excavator Backhoe Skid Steer / Bobcat Dozer Loader Crane Forklift / Telehandler Boom Lift / Scissor Lift Compactor / Roller

Total Equipment Value

Do you have an office/yard?

What coverages are you interested in? (check all that apply) *

General Liability Workers' Compensation Commercial Auto Builders Risk Equipment / Inland Marine Umbrella / Excess Liability Professional Liability / E&O Pollution Liability Surety Bonds (Bid/Performance/Payment) Not Sure - Need Guidance

Desired Effective Date

Current Policy Expiration

Current Insurance Carrier

Current Annual Premium (approx)

Any claims in the past 5 years? *

Has coverage been cancelled or non-renewed?

If you have had claims, please provide details:

Safety Programs in Place (check all that apply)

Written Safety Program Regular Safety Meetings / Toolbox Talks OSHA 10/30 Training Drug Testing Program Dedicated Safety Officer Regular Job Site Inspections Fall Protection Program Return-to-Work Program

Any construction defect claims or litigation?

8 Additional Information

Preferred Contact Method

Best Time to Reach You

How did you hear about us?

Additional Comments or Questions

By submitting this form, you agree to be contacted by First Underwriters Insurance Brokers regarding your general contractor insurance quote request. Your information will be kept confidential and used only for the purpose of providing you with quotes. We may request additional documentation such as loss runs, ACORD applications, or financial statements to complete your quote.

Have questions or prefer to speak with a construction insurance specialist? Call us directly.

(425) 242-5357

First Underwriters Insurance Brokers • Kirkland, WA • Since 1992