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Contractor's General Liability



       Call or Submit the Below Quick Form

        770-974-0670  Office  9am to 5pm

  • Multiple Carriers Will Compete
  • We'll Contact Same Business Day
  • DWard Insurance since 1988

Our Highly Rated Insurance Carriers:   

Hartford Auto Owners * Travelers * Safeco * Progressive * Utica * Main Street *

American Strategic * United States Liability * Mercury * AmTrust North America *

 



Are you the policyowner?
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If no, what is your relationship to the policyowner? If yes, type "NA"
Required
Note: All questions hereafter pertain to the policyowner.
CONTACT INFORMATION
First Name
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Last Name
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Business Legal Name
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Contact Primary Phone Number
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Contact Email Address
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Mailing Address
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City
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State
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ZIP / Postal Code
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What type of Insurance do you want us to quote?
Optional



Describe your Contractor Operation
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Business Type
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Number of Owners
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Business Street Address
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Primary Phone Number
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E-Mail Address
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Number of Years in this Business?
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Gross Annual Sales
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Number of Employees
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Annual Employee Payroll, or type "No Employees"
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Are Subcontractors Used?
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If Subcontractors are used, do you veritify that they have insurance?
Required


Annual Cost of Subcontractors, or type "No Subcontractors"
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Do you have Equipment to insure?
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If YES, Please provide a brief description of equipment with a TOTAL VALUE to be insured. If no equipment, type "No equipment to be insured."
Required
Do you current have General Liability Insurance?
Required

If yes, please provide name of current Insurance carrier. If no insurance, type "NA."
Required
Have you had a lapse in coverage during the past 3 years?
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Has your company had any claims in the past 3 years?
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Number of Additional Insureds Needed
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Any Special Requirements
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If yes, please explain special requirements. If no, type "NA"
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How did you hear about us? Please let us know
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Is there anything else that you would like for us to know concerning your quote request?
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SIGNATURE REQUIRED
I have provided all of the above information for insurance purposes and I state all information is true to the best of my knowledge. I also understand that I am to discuss with the agent at D. Ward Insurance my desired limits and coverage.
By typing my name warrants my signature.
Required
ADDITIONAL INFORMATION NEEDED
Please note - if the Business is insured, a copy of the policy and claim history will be required. They can be obtained from your current agent by requesting the documents to be sent electronically to you.
After you have sumitted your quote request, we will start working on your quote and we will help assist with obtaining your claim history. The insurance carriers require us to show prior proof of coverage along with claim history.
In reviewing your policy and claim history, we will let you know if we believe we can better your coverage and save money, or we will let you know your policy is competitively priced.
Thank you for time and we will be in touch with you today unless this is after hours or on the weekend - Debbie Ward and Valerie Moore
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages.  Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company.  If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.