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