5200 Station Way  Sarasota, FL  34233             Local Phone: 941-915-1831            Toll Free: 1-866-627-9837           Fax:  941-365-8125            Email:  info@floridaconstructioninsurance.com   
Online General Liability Insurance Quote
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Contact Name
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Phone
Current General Liability Carrier
Describe Your Business and the Work You Perform
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Confirm Email Address
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# Years in Business
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Employee Job Description
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# Employees in This Code
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Annual Payroll for This Class Code
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Estimated Percentage of Residential Work Performed
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Estimated Percentage of Commercial Work Performed
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Estimated Percentage of Work Sub Contracted to Others
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How Many years Experience Do You Have in Your Field
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Do You Perform Work Over 3 Stories in Height
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Do You Perform Hot Tar Roofing
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Total # of Locations
Do you work outside the state of Florida?
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Additional Comments or Questions
Desired Limits of Insurance
Estimated Gross Annual Revenue
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EXAMPLE--PAINTERS
EXAMPLE--2
EXAMPLE--$52,000
5200 Station Way  Sarasota, FL  34233           Local Phone: 941-365-8123         Fax:  941-365-8125             
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