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Quote General Contractor

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  • Contractor General Liability Insurance Quote

    Please note! In some instances we will send you a supplemental application depending on your responses.
  • DD slash MM slash YYYY
  • DD slash MM slash YYYY
  • If the company is your legal name insert your legal name
  • The "primary" and official person of contact to receive all legal notices. The ultimate person responsible for all insurance making decisions for the company / entity.
  • GENERAL LIABILITY COVERAGE

  • Base limits. If higher limits are required select the highest limits here and then answer the following question under "Excess Limits"
  • Loss runs may be emailed to insurance@athenainsurance.com or uploaded with this form. Use the file format of .pdf please.
  • Drop files here or
    Accepted file types: pdf, Max. file size: 2 GB, Max. files: 5.
      If you have more than five losses in the past five years please email loss runs to steve@athenainsurance.com
    • CLASSES OF BUSINESS

      Select the classes of business to "include" in your operations. It is highly recommended that you select "all" that apply. If you only perform services in on class there is not a need to complete all classes.
    • Please enter a number from 1 to 100.
    • Please enter a number from 1 to 100.
    • Please enter a number from 1 to 100.
    • Please enter a number from 1 to 100.
    • Please enter a number from 1 to 100.
    • ADDITIONAL COVERAGE OPTIONS

    • ENDORSEMENTS

      It is recommended that if you have 5 or more to select this option. "Yes"
      It is recommended that if you have 5 or more to select this option. "Yes"
      It is recommended that if you have 5 or more to select this option. "Yes"
      It is recommended that if you have 5 or more to select this option. "Yes"
      Many policies exclude this. Check "yes" if you want to buy this coverage
      Many policies exclude this. Check "yes" if you want to buy this coverage
      Many policies exclude this. Check "yes" if you want to buy this coverage
      Note, specific language of this endorsement "will" vary from company to company. In essence it is not placed within the limits of liability coverage.
    • INDIVIDUAL ENDORSEMENTS

    • ROOFERS OPTIONAL ENDORSEMENTS

      Check all that apply
    • UNDERWRITING INFORMATION

    • ESTIMATED PERCENTAGE OF WORK PERFORMED "Residential vs Commercial"

    • HOW MUCH IS DONE BETWEEN THE FOLLOWING THREE CHOICES

      ESTIMATE A PERCENTAGE
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