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Serdinsky Insurance
Use the form below to request a quick Liability insurance quote for your Painting business.
Quick Liability Quote
(PAINTERS)
Your Name:
Your Email:
Business Name:
Person to Contact:
Phone:
Fax:
Shop Address:
City:
State:
Zip Code:
What percentage of your buisness is?
% repaint work
% New Buildings
Should total 100%
What percentage of your work is for?
% Residential work
% Commercial work
Should total 100%
Years in business:
Years in trade:
Estimated annual gross sales/receipts:
$
Estimated annual payroll (not including owners/officers/clerical:
$
Replacement value of your tools, equipments,& materials:
$
Do you have a shop?
Yes
No
Current insurance carrier:
Renewal date:
Any claims during last 3 years? Explain
Do you do new construction of track homes? (subdivisions)
Yes
No
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