Solar Contractors General Liability Insurance Quote

Insurance for a contractor can be complicated, out simple form allows us to rate your coverage request simply and easily to assist you in obtaining insurance for your contracting business.

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Step 1 of 3

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Name*

First Last

Business Entity is*

Full Legal Business Name*

If you use a DBA (Doing Business As) what is it

Email*

Phone Number*

Fax Number

Alt Phone Number (cell, home)

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Website

Date Business Started*

Experience & Basic Rating Information

Address of your Operations

Street Address Address Line 2 City State ZIP Code

If same as your mailing address, indicate "SAME"

Please Briefly Describe the Nature of Your Business:*

Number of Owners*

Number of Full Time Field Employees (Incuding Owners)*

Number of Part Time Employees*

Tasks Your Employees Perform

Total percentages must equal 100%

Primary Class*

% of Total Work*

Please enter a number from 0 to 100.

Secondary Class

% of Total Work

Please enter a number from 0 to 100.

3rd Class

% of Total Work

Please enter a number from 0 to 100.

4th Class

% of Total Work

Please enter a number from 0 to 100.

5th Class

% of Total Work

Please enter a number from 0 to 100.

Percent of total work for your employees

How do you hire subcontractors?*

We Do Not Use Subs!

Usually Use Same Ones

Usually Put it Out to Bid

% of Work Done as a General Contractor or GC*

A GC is one that subcontracts work.

% of Work Done as a Contractor*

A Contractors is one that is hired directly by the client

% of Work Done as a Subcontractor*

A Subcontractor is one that is hired directly by the GC

Primary Subcontractor Class*

% of Total Work*

Please enter a number from 0 to 100.

Secondary Subcontractor Class

% of Total Work

Please enter a number from 0 to 100.

3rd Subcontractor Class

% of Total Work

Please enter a number from 0 to 100.

4th Subcontractor Class

% of Total Work

Please enter a number from 0 to 100.

5th Subcontractor Class

% of Total Work

Please enter a number from 0 to 100.

Do you maintain a contract with ALL subcontractors that require them to name you as an additional insured?*

Yes

Do you require a hold harmless agreement from your subcontractors?*

Yes

Do you require all of your subcontractors to maintain workers compensation and furnish you with a certificate of insurance?*

Yes

Do you install or service concentrating solar power (CSP) systems, if so what types?*

Parabolic Troughs

Stirling Dish

Solar Tower

Linear Fresnal Reflectors

Which photovoltaic technologies do you install and or service?*

None

Concentrating Photovoltaics

Monocrystalline Silicon

Polycrystalline Silicon

Copper Indium Selenide

Cadmium Telluride

Thin Film

Casting Wafers

Concentrator Modules

What is the length of the power production warranty you provide?

What is the minimum warranted power rating of the solar panels installed?

What types of support brackets are used for mounting?

What is the average production capacity of the systems installed?

Are these brackets fabricated by you or by others?

Us - Custom

Others - Custom

Others - Prefab

Do you install inverters with 60 Hz copper wound transformers?

Yes

Is there a formal safety program in place?*

Yes

Do you follow OSHA standards for promoting a safe workplace?*

Yes

Are pre-employment drug screens performed on ALL employees?*

Yes

Type of solar work performed

Percentages must equal 100 percent:

Installation:

Please enter a number from 0 to 100.

Service or Maintenance:

Please enter a number from 0 to 100.

Repair:

Please enter a number from 0 to 100.

Total Percent of Work

Must Equal 100

Total Percent of Work Must Equal 100%

Financial & Income Information

Do not enter $0 for payroll or revenue

Total Annual Payroll of Employees -Not Including Owners*

Total Annual Anticipated Gross Revenue*

Total Annual Cost of Sub-Contractors*

Operations & Experience Information

What percent of your work is performed in New York City*

How many Years of Experience do you have?:*

Are You Licensed?*

If so, what kind of license(s) do you hold?*

Percent of work done INSIDE*

Percent of work done OUTSIDE*

% of Work Done that is RESIDENTIAL New Construction*

% of Work Done is RESIDENTIAL on Existing Construction*

% of Work that is Rooftop Commercial or Industrial:*

% of Work - That is on Carports*

% of Work - That is Ground Mounted or Field Work*

Total Type of Work

Total Type of Work Must Equal 100%

Please adjust the numbers above

Are you North American Board of Energy Practitioners (NABCEP) Certified?*

Yes

Are Solar Rating and Certification Corporation (SRCC) components used for installation?*

Yes

If yes, percentage of components that are SRCC certified? If no, please explain.

Have you worked as a General Contractor Building Residential Homes, Condos, or Townhouses in the last 10 years*

Yes

Underwriting & Procedural Information

List major Projects completed within the last Three Years. Include work in progress and planned work.

(List protect names, date, description, location & revenue)

Project 1

Project 2

Project 3

Project 4

Is any work done involving systems that provide:*

None

Process Piping

Dams / Levees

Medical and/or Life Support Systems

Underpinning

2. Maximum number of stories above grade work is performed from?:*

3. Any work performed below grade?*

Yes

If so what is the Maximum Depth*

What is the % of your total work below grade?*

Any Scaffolding owned, rented or erected?

Yes

Is it owned or rented?*

Owned

Rented

Are other contractors at the site allowed to use it?*

Yes

Has any Prior work included Exterior Insulation Finish Systems (EIFS)?*

Yes

If so please explain*

Have you ever built or intend to build on hillsides, slopes, landfills/dumps or in subsidence areas?*

Yes

If so please explain*

Do you or any of your employees hold Real Estate licenses?*

Yes

If so, how much Professional Liability Coverage is provided?*

Any other operations outside the realm of "Contracting"?*

Yes

If so please explain*

Any mobile equipment leased from others?*

Yes

If so please explain*

Do you own any Undeveloped Vacant Land, held only for development or investment?*

Yes

If so please explain*

Do you do any work on a ladder over 2 stories?*

Yes

If so how many feet high?*

Loss Information

Any losses or claims in the last 5 Years?*

Yes

Claim Details*

If you have had any claims in the last 5 years, please provide the date, the cause of the loss, and the amount paid out for each one.

Current Insurance Information

Are you currently insured*

What is the name of your current insurance carrier?*

What is the name of your prior insurance carrier?*

Current insurance expiration date*

MM slash DD slash YYYY

What date did your coverage end?*

Month

Day

Year

Current annual insurance premium*

Prior annual insurance premium*

How long have you been continuously insured?*

How long were you continuously insured?*

Coverage Information

Liability Coverage Requested*

This provides coverage for bodily injury and property damage

Liability Deductible Requested*

Umbrella/Excess Liability Coverage

Do you currently have Workers Comp coverage?*

Yes

Do you currently have Disability Insurance coverage?*

Yes

Finance Information

Ever filed Bankruptcy or Reorganization*

Yes

Has coverage been Declined, canceled or non-renewed in last 5 years

Yes

If so, why?

Final Details

How soon do you need this quote*

Date quote needed by

MM slash DD slash YYYY

What date do you need this coverage by?*

MM slash DD slash YYYY

How did you hear about us?

If you were referred, who can we thank with a nice gift?

What other coverages are you interested in?*

None

Workers Comp

Disability

Group Health

Employment Practices Liability

Business Property / Tools

Business Income Coverage

What is your total annual payroll?

What is your copmpany's Federal Tax ID #

How many male employees do you have?

How many female employees do you have?

Business Property

Please enter a number from 0 to 10000000.

This provides coverage for your possessions your business owns. (desks, chairs, tables, books...)

Property Deductible

What deductible would you prefer for the property coverage? Higher deductibles have lower insurance costs.

Business Income Coverage Requested

Please enter a number from 0 to 10000000.

This provides monetary coverage in the event your business is closed because of a covered loss (fire, storm, smoke damage)

Other things I want to tell you that you didn't ask. Additional comments, concerns, circumstances, or coverages you have/want.

If you have them available please upload a copy of your current or most recent policy and currently valued 3 years loss runs.

Drop files here or

Accepted file types: jpg, gif, png, pdf, tif, Max. file size: 100 MB, Max. files: 10.

If you don't have them available, when you do, please email them to [email protected].

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