Minneapolis Contractor Liability Insurance – Mpls Contractor's Insurance Quote

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Contractor Liability Insurance

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E-Mail:
info@insuring
minnesota.com

Phone Lines:
1-800-972-4292
ext. 425
1-952-469-0425

Fax:
1-952-469-1881

Mailing Address:
20960 Holyoke Ave
PO Box 1177
Lakeville, MN
55044

MN Insurance
License #:
44761

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Please report site-related technical problems to: info@insuringminnesota.com

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

Business Underwriting Information
Type of operation:
Describe operations in detail:
License class:
License Number:
Social Sec. or Employer ID#:

Limit of Liability Coverage Requested?	$300,000 $500,000 $1 Million

Currently Insured?	Yes No
Name of Carrier & how long insured?
Prior Claims?	Yes No
Describe claims in detail:

Years in business:
Years experience in field:
Percentage of work residential:
Percentage of work commercial:

Number of Active Owners:
Number of Employees:	0 1 2 3+
Annual Employee Payroll: $
Annual Gross Sales: $

Do you subcontract work?	Yes No
(If yes, what percentage of your work is subbed, and what kind of work?)
Do you do foundation work?	Yes No
Do you work on condos?	Yes No
Employees paid over $18/hour?	Yes No
Do you have a safety program?	Yes No

Comments/Remarks:

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