Business Entity Type *
Select Type
Sole Proprietorship
LLC
Partnership
Corporation
S-Corporation
Joint Venture
Years in Business *
Select
New Business (less than 1 year)
1-2 years
3-5 years
6-10 years
10+ years
Customer Type - Percentage of Work
Project Type - Percentage of Work
Maximum Working Height *
Select
Under 15 feet
15-25 feet
25-40 feet
Over 40 feet
Do workers use stilts?
Select
Yes - Regularly
Yes - Occasionally
No
General Liability Limit Needed *
Select Limit
$1,000,000 / $2,000,000
$2,000,000 / $4,000,000
Higher limits needed
Not sure - need guidance
Per Project Aggregate Needed?
Select
Yes
No / Not Sure
Additional Insured Endorsements?
Select
Yes - Frequently requested
Yes - Occasionally
No / Rarely
Waiver of Subrogation needed?
Select
Yes
No / Not Sure
Do you provide warranties?
Select
1 Year Warranty
2 Year Warranty
Varies by contract
No Warranty
Any work in occupied buildings?
Select
Yes - Frequently
Yes - Occasionally
No - New construction only
Does the business own vehicles? *
Select
Yes
No
Hired & Non-Owned Auto needed?
Select
Yes - Employees use personal vehicles
No
Vehicle Schedule (Year, Make, Model, VIN)
Auto Liability Limit
Select
$500,000 CSL
$1,000,000 CSL
100/300/100 Split
Radius of Operations
Select
Local (under 50 miles)
Regional (50-150 miles)
Statewide
Multi-State
Workers' compensation covers medical expenses and lost wages for employees injured on the job. Drywall work involves physical labor, repetitive motions, and height exposure, making proper coverage essential.
Job Classifications / Duties
Where is equipment stored?
Select
Locked Shop / Warehouse
Locked Vehicle / Trailer
Often left at job sites
Residential Property
Multiple locations
Any claims in the past 5 years? *
Select
No claims
1-2 claims
3+ claims
Current Insurance Status
Select
Currently insured - shopping
Renewal coming up
New business - first policy
Lapsed coverage
Being non-renewed
Claims Details (if applicable)
Preferred Contact Method
Select
Phone Call
Email
Text Message
Best Time to Reach You
Select
Early Morning (6-8am)
Morning (8am-12pm)
Afternoon (12-5pm)
Evening (after 5pm)
How did you hear about us?
Select
Google Search
Referral from another contractor
Referral from general contractor
Drywall Supplier / Distributor
Trade Association
Social Media
Other
Additional Comments or Special Requirements
