Contractor General Liability Insurance Quote Request Form

Please fill in the information below to receive a quote for Contractor General Liability Insurance in Connecticut. Insurance quotes will be generated as soon as possible.

Name and full address including zip code are required. All other information is optional although the more you provide, the more accurate the quote.

For fastest response, please include email address.

Contact Name:  
DBA:           
Address:        
               
City:           CT
Zip Code:      
Phone #:          
Fax #:         
Email:         

Business Type: IndividualPartnership LLC Corporation Other

Trade:         
Payroll:       
# Employees:   

Do you currently have Contractors Insurance? Yes No

If yes, with what insurance company? 
If yes, what is the expiration date? 

Any Prior Claims? Yes No

If yes, please provide details:


Current or desired limits of General Liability: 
 LIABILITY LIMITS. $300,000 / $600,000 $500,000 / $1,000,000 $1,000,000 / $2,000,000 

Please note: Commercial auto, large mobile equipment or multiple location risks require additional information and need to be quoted separately.

Additional Information or Comments

The resulting quote does not constitute coverage and is subject to
verification by the insurance company.