Thank you for the opportunity to review your insurance program.
In order to obtain an indication for your company Please Provide the following information.

1) Written explanation of your scope of work, including Territory, type, duration of projects (if Applicable)

2) Resumes on principals as well as any key employees

3) Loss information (if available) for the last 4 years

4) Completion of supplemental applications (if Applicable)

5) Construction, Year built, Square footage of your location

6) Federal ID number(s) and/ or Social Security number

7) Drivers Schedule including Name, Date of Birth, and License #'s ( Auto Coverage)

8) Payroll and gross sales

9) Copy of current policies

10) Copy of Hold harmless/ Indemnity agreement

11) List of last 5 completed project including the completed costs

12) Equipment schedule including year, make, serial # and cost to replace

13) Vehicle schedule, including, year, make, model, cost new & GVW

845-986-2211 Phone

845-986-0949 Fax: