Glendale, Peoria, Phoenix, AZ. Gene... - Westgate Insurance Agency LLC

(623) 915-6935 Glendale, AZ

General Liability / Contractor Insurance Quote

Contact Name *

Company

Address *

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Email *

Phone *

Classification

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Tell Us About Your Operations

Type of Business

# Active Owners

# Full-time Field Employees

# Part-time Field Employees

Contractor License #

Work on New Tracts?
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Work on New Condos, Townhomes, or Apartments?
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Work Percentage (Must Equal 100%)

New Commercial

Service & Repair

Residential

Miscellaneous Industrial

Remodel

New Custom Homes

Company Information

Annual Payroll (exclude owners) $

Annual Gross Receipts $

Annual Sub Costs $

Current Insurance Carrier (If none, enter "none")

My Policy Renews (Current date if not insured)

Provide detailed description of your contracting operations. The more complete the description, the more accurate your quote will be.

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