atlanta condo, average condo insurance, condo agent, condo apartment, condo association, condo association insurance, condo building, condo cost, condo costs, condo coverage, condo damage, condo fire, condo flood insurance, condo group, condo hoa, condo homeowners insurance, condo homes, condo house, condo insurance, condo insurance coverage, condo insurance florida, condo insurance policy, condo insurance quote, condo insurance quotes, condo insurance rates, condo liability, condo owner, condo owners insurance, condo policy, condo rates, condo rental, condo rental insurance, condo rental property, condo value, condominium association insurance, condominium insurance, condominium insurance coverage, condominium insurance policy, dwelling insurance, fire insurance, georgia atlanta, georgia condo insurance, georgia homeowners insurance, homeowner's insurance, how much condo insurance, insurance companies, insurance condo, insurance condominiums, insurance condos, insurance cover, insurance coverage, insurance for a condo, insurance for condo, insurance for condominium, insurance for condominiums, insurance for condos, insurance policies, insurance policy, insurance quote, insurance quotes, liability insurance, owner insurance, owners insurance, property condo, property insurance, rental property insurance, residential condo, state farm condo insurance, state farm insurance, allstate condo insurance, allstate insurance

Start the process to get a quote

The following is the minimal information to start the quoting process:

Georgia Electrician Insurance.com

General Liability policies- low cost and meeting the need

Items with the * are required

Business Entity is a(n)*

 

Doing Business As:  (Leave Blank if no Business Name)

(Only fill in if there is a Business Name)

 

First Name of Applicant:

*

Last Name of Applicant:

*

Location Address: 

*

(No PO Boxes)

 

City:

*

State, Zip: 

* *

County: 

*

Applicant's Phone Number: 

* ex. 716-837-8804

Applicant’s E-Mail Address:

*

Describe Business:

*

Applicant’s Birth Date

 

Enter percentage of work performed. Total must equal 100%

Electrical Residential

Electrical - Commercial

 

 Other   

 

BUSINESS SUMMARY

Years In Business: 

*

Years Experience:

*

Percent of Work Performed:

 

 Residential :

Commercial : * Must total 100%

Inside :

Outside : * Must total 100%

New Constuction :

 Remodel/Repair : *Must total 100%

Number of owners :

*

Employees:(No owners or clerical)

Full Time *  Part Time * 

Part Time Employees work less than 120 days per year

Total Payroll: (Do not enter commas)

*(No owners or clerical)

Annual Gross Receipts:

* (do not enter commas or dollar signs)

Are subcontractors used?:

*

      If yes, what is the annual cost of subcontractors:

(do not enter commas or dollar signs)

      Are Subcontractors required to maintain coverage?

      If Yes, What limits do the subs carry?

Are you involved (present or future) in new residential construction &/or development? (This would include dwellings, townhouses or condo units located in a single development):

 *

List the last 3 jobs including the cost of those jobs.

Location

Type of Job

Job Receipts

1. *

*

*

2. *

*

*

3. *

*

*

Does Risk have a Safety Program in operation?:

*

Does applicant currently have General Liability coverage? :

*

Was there past General Liability coverage? :

*

The following 6 items are required if they had prior coverage or currently have coverage.

Enter name of most recent carrier :

   Policy #

Is or was policy being cancelled or

non-renewed?

If yes, please explain:

Most recent Policy Premium :

Loss History: (Date of loss, Brief Desc. and Amount Paid)

 

If none enter NONE :

LIABILITY INFORMATION

Liability Limits 1: ($)

 

Liability Limits 2: (optional): ($)

SUBMISSION OF THIS APPLICATION IN NO WAY CONSTITUTES A RECIEPT OF QUOTATION OR APPROVAL FOR BINDING. BINDING WILL BE CONFIRMED BY A WRITTEN RELEASE OF A BINDER NUMBER AFTER ALL REQUIREMENTS ARE RECEIVED IN OUR OFFICE. RATE IS BASED ON INFORMATION PROVIDED ON THIS APPLICATION AND IS SUBJECT TO CHANGE.