Contractors Quick Quote

We offer no-obligation quick-quotes for Contractors Insurance so you can be sure you have the best premium available. You can use our Quick-Quote application or fax or email us a copy of your current policies. You can also visit our office with your policies.

E-mail: info@keefeins.com
Fax: 508-528-3887

Contractors Liability Insurance
Contractors Business Auto Insurance
Contractors Workers Compensation Insurance

Contractors Liability Insurance Quick Quote Application

Full-time operations only

*Your Name:
*Business Name:
*Mailing Address:
*City:
*State:
*Zip:
*Phone:
E-mail Address:
Website:
Legal Entity:
Describe your contracting operation in detail:

* Required information

Name the Owners, Corporate Officers, Partners or LLC members and the work they perform:
Annual payroll not including owners, partners and corporate officers:
Number of Full-time employees:
Number of Part-time employees:
Years in Business:
Years of experience in field:
We will quote $1,000,000 for General Liability unless higher limits are requested
Currently Insured?:	Yes No
Name of carrier:
Policy renewal date:
Current Premium:
How long insured:
Prior claims?:	Yes No
Describe claims in detail for last 3 years
Percentage of work residential:
Percentage of work commercial:
Type of commercial work performed:
Do you subcontract work? (if yes, what percentage of work is subbed and what kind of work	Yes No
Do you want to insure your tools and equipment?:	Yes No
Value of your tools and equipment:
Location you store the tools and equipment:
If you own the building what is the replacement value	$
Do you want to insure mobile equipment your own: if yes:
Equipment description	Value
	$
	$
	$
	$
Do you have an Umbrella Liability policy?:	Yes No