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Quote Utility Line Insurance

Athena Insurance and Financial Services

Quote Tree Contractor Insurance

Step 1 of 12

8%
MM slash DD slash YYYY

CHECK THE BOXES BELOW TO SELECT THE TYPES OF INSURANCE YOU WOULD LIKE TO A OBTAIN QUOTE(S) ON.

Check those boxes for which you want a quote

CHECK OFF ALL ACTIVITIES YOU PERFORM DIRECTLY OR THAT YOU SUB-CONTRACT OUT TO OTHERS TO DO FOR YOU

Please check all operations/activity performed directly

NEXT, BASED UPON THE "ACTIVITIES" YOU SELECTED "ESTIMATE HOW MUCH 'PAYROLL' WILL BE PERFORMED IN EACH KIND OF WORK

We realize no one knows exactly but please provided some estimates. For the owner of the company use a figure of $33,600 regardless of how much you make. For example, one owner and one employee. Employee payroll 35,000. You would use total payroll of $68,600. Some rating bases will vary and your agent will explain to you which rating bases we use for your quote.
Are you all done with this section? If you need help call us we will go though this process with you. Call (209) 223-1870

Please call (209) 223-1870 and leave us your phone number and a good day & hours to call

Contact, Business and Entity Information

Person, not the business name
If no dba then individual name
Please provide your State/County license or vendor number
Are you a member of any other trade Associations or Organizations?
Email
How is your business entity formed?
1. Name of Owners/Officers/Partners
2. Name of Owners/Officers/Partners
Tick the check box to add more
Mail Address
Are you currently insured or have you had insurance recently?

Financial and Experience Information

Have you or a subsidiary had a bankruptcy in the last five years?

Years of Experience

Based on the States in which you operate please select which States have buildings such as offices, storage yards, or warehousing

Buildings and other Structures

In the State of Alabama "check" all "types" of structures needing property insurance. Later in this application we will as about what types of coverage is needed, use and ownership/rental/lease questions.

Building 1

Building 1. Occupied or Vacant
What is the physical address of Building 1 in Alabama?

"If over 14 years old" Building Updates & Construction

Please select the liability limits required by your operations

Limits of base policy for Loggers broad form (and general liability if quote for gl requested)

Logger Broad Form

Payroll Estimates for the Next 12 months

Of our total payroll including owner provide "estimates" in $dollars$. (NOTE: For the owner use a standard of $33,600. for example 50% logging adn 50% road building divide the owner payroll of $33,600 between the two categories) For employees payroll use actual payroll estimates.

Logging Operations

Do you own the land upon which you or others are operating?
Your response was "No"... Are all required permits in place with appropriate authorites?
Is there a signed contractor with the owners?

Inland Marine for tools and equipment coverage

General Liability

Workers Compensation

Commercial Auto / Transportation

Driver Informaion

Vehicles & Trailers

Thank you. Please note coverage is not bound

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