Free Liability Insurance Quote from NY Contractor's Insurance.com

Workers Comp. Quote

General Liability Quote

  Business Auto Quote

  Business Owners Quote

  Business Umbrella Quote

  Group Health Quote

  Personal Health Quote

  Disability Quote

  Financial Planning Info.

  Homeowners Quote

  Personal Auto Quote

  Personal Umbrella Quote

  Boat & Yacht Ins. Quote

Service My Account

Request Insurance
Certificate

Service Request Form
Customer Service E-Mail

BGES Group
216 A Larchmont Acres W
Larchmont, NY 10538

"All Our Policies Come With
an Agent!"

Free On-Line Commercial General Liability Quote Form One Simple Form - takes only 2-3 Minutes!
Your Name:
BUSINESS Name:
Mailing Address:
City:
State: (Must be New York)
Zip/Postal:
E-Mail (REQUIRED):
Phone:
Fax (optional):

Business Underwriting Information
Type of Contractor/Business:
Detailed Description of What You Do:
When Does Current Policy Expire?
Who is Your Current Insurance Carrier?
Current Annual Insurance Premium:	$
Previous Losses in the past FIVE years:	None 1-2 More than 3

Limit of Liability Coverage Requested?	$500,000 $1 Million

Do You Want an Umbrella Liability Policy to Increase Your Limits above $1 Million?	Yes No

Number of Employees:
Square Footage of Space You Occupy:
Annual Gross Receipts:	$
If You Are A Contractor, Please Complete the Questions Below:

Annual Employee Field Payroll (do not include office):	$

Breakdown of payroll percentage-wise (i.e., carpentry - 30%, electrical - 15%, plumbing - 25%, etc.) :

Do you subcontract work?	Yes No
(If yes, what percentage of your work is subbed, and what kind of work?)

Subcontracted Costs (take out your profit):	$

PercentageResidential:	Percentage Commercial:

Percentage of Work Performed INSIDE New York CITY:	%

Percentage of Work Performed OUTSIDE New York CITY:	%

Percentage of Work Performed OUTSIDE New York STATE:	%

Do you obtain certificates of insurance from all sub-contractors?	Yes No

Are you listed as an additional insured on all sub-contractor liability policies?	Yes No

Do you have a written hold harmless agreement with all sub-contractors?	Yes No

Do you have a written safety program in operation?	Yes No

Comments/Remarks:

Send my quotation via:	E-Mail Fax Regular Mail Please Call Me!

Thank you for filling out this form COMPLETELY!
We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release them from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Yes, I Agree. Please Send Me a Quote NOW!

Click Button Below When Done

Please Click Only Once . . . May take up to 30 seconds!