|
eg. sole proprietor, registered corporation, etc |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Do you currently have business insurance: |
|
|
|
| |
| Has insurance ever been denied or canceled: |
|
| |
|
Please provide a % breakdown for each operation |
|
The more detail the better the underwriter can evaluate your exposures. |
|
Area that you serve. eg Greater Vancouver, BC, Alberta, Ontario, |
|
|
|
|
|
|
| Does the Applicant have any U.S. or other foreign sales/revenue: |
|
| Do you have any operations or do any work outside Canada: |
|
| Does the applicant anticipate entering into other operations, other than those already described, during the next 12 months?: |
|
| Does the applicant engage in any of the following operations (check all that apply): |
|
| Do you employ subcontractors: |
|
|
|
| Are all sub-contractors required to provide proof of liability coverage: |
|
|
Limits start at $1,000,000. Many contracts now specify a minimum limit of $5,000,000. |
| Do any employees regularly drive their own vehicles on company business: |
|
|
|
|
|
|
|
|
|
|
|
|
Including parking lots |
|
|
|
|
|
Provide percentage and description of premise. Eg. Bus loop, City Parking Lot, etc. |
| Do you do any Salting?: |
|
| Do you keep logbooks showing weather conditions, time, location, and details of all work carried out: |
|
| Do you have a written contract with the customer?: |
|
| What determines when the contractor will go to the ploughing job?: |
If pre-set criteria, please describe below. |
|
|
| Does the customer check and approve the work done?: |
|
| We will use this to provide a straight comparison to your current coverage. Feel free to remove any premium information. |
| To confirm you aren't a bot! |
| |