Banner Image for Wisconsin Contractor Insurance
 

 

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 Wisconsin)
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:
 
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 (full & part time):
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

 
Other Coverages You Would Like Information On: Tool & Equipment Floater Commercial Vehicle
Bonds, License/Performance
Workers Compensation
Builders Risk Insurance
 
Comments/Remarks:
 
Send my quotation via: E-Mail Fax
Regular Mail
Please Call Me!

Thank you for filling out this form COMPLETELY!

 
Thank you for filling out this form COMPLETELY!

DISCLOSURE "In connection with this application for insurance, some carriers may review your credit report, or obtain or use a credit based insurance score based on the information contained in that report. We may use a third party in connection with development of your insurance score."

CHECK THIS BOX FOR QUOTE RELEASE - This information has been reviewed with the customer and agreed upon. We value your privacy and will release NO personal information you give us to ANY other party, at any time, and make every effort to keep your information confidential.


Help Us Fight Spam! Type the Numerical Code you see at right, into the empty text box on the left, so we know you are a human. Thanks for your help!

Enter code at right, here:
 Web Form Protection Code
reload image


Click Button Below When Done

Please Click Only Once . . . May take up to 30 seconds!


CONTACT US TODAY AT
BADGER INSURANCE ASSOCIATES:


• Get a Free Contractor Quote
• Get a Commercial Auto Quote
• Get a Contractor Bond Quote
• Get a Contractor Workers Comp Quote
• Get a Free Builder's Risk Quote
• Our Agency Privacy Notice
• More About Our Agency & Service
• Our Agency's Main Insurance Web Site

Local Office Phone: 608-831-3797
Office Fax: 608-831-5740
Email: markh@badgerinsurance.com
 OUR HOME OFFICE
(Location & Directions)

 		RESOURCES & SERVICES AT
WI-CONTRACTORS-INSURANCE.COM

• Current Clients' Service Request
• Insurance Certificate Request
• Easy Online Contractor Quote Request


Badger Insurance Associates and WI-contractors-Insurance.com has been insuring Wisconsin contractors for decades. We shop the current major contractor insurance carriers to get you the maximum protection at the most affordable prices. We present FAST quotes, GREAT service, and LOW rates to every customer. Some of the KEYWORDS our clients use to find us on the internet include: Wisconsin contractor insurance, WI contractor's insurance, Wisconsin contractor general liability insurance, contractors insurance, artisan insurance, WI contractor general liability insurance, Wisconsin artisan general liability insurance, low cost WI contractor's insurance, contractor insurance quote, Wisconsin contractor liability insurance, WI contractor's business insurance, and more.

Get a Fast and Free Contractors Insurance Quote NOW!


Web Site Design © 2018 Insurance-Web-Sales