Artisan Contractor Liability

  • Applicant
  • Business
  • Coverage
  • Prior Carrier
  • Miscellaneous
  • Select Agents
  • Finish

Applicant

First Name *
Last Name *

Where should we send your quote?

Email *
Phone *

Please fill all the mandatory questions.

Business

Business Info

Business /​ Company Name *
Founding Date *
DBA (If Applicable)
FEIN (If Applicable)
Organization Type *
Business Address
Address *
City *
State *
Zipcode *
Mailing Address
Address *
City *
State *
Zip Code *

Internal

Type of Business *
Specify business *
Number of Years in the Business
Business Status *
Specify Business Status *
Annual Payroll *
Annual Sales *
Full-Time Employees
Part-Time Employees
Description of Business

Please fill all the mandatory questions.

Coverage

Coverage Status

Proposed Effective Date
Contractor License *

Projected Gross Receipts

For the next 12 Months *

Annual gross receipt ( Past 3 Years)

2021
2020
2019

Employees and Partners

Number of Owners /​ Partners *
Number of Full Time Employees *
Number of Part Time Employees *
Total Employee on Payroll *

(No owner, clerical or sales)

Sub-contracting Costs

Percentage of Work

Structural
Residential *
Industrial *
Commercial *
Construction Type
New Construction *
Remodel /​ Additions *
Service /​ Repair *
Non-Structural Remodel *

Current / Planned Jobs, Please fill in as much as you can

Description of the Largest Current/​Planned job
Value Of The Largest Current/​Planned Job
Description of the Largest Current/​Planned job in the last 3 years
Value Of The Largest Current/​Planned Job in the last 3 years

Additional Policies

Please fill all the mandatory questions.

Prior Carrier

Carrier 2021

Carrier Name *
Enter Other Prior Carrier(2021) Name *
Policy Number
Premium

Carrier 2020

Carrier Name *
Enter Other Prior Carrier(2020) Name *
Policy Number
Premium

Carrier 2019

Carrier Name *
Enter Other Prior Carrier(2019) Name *
Policy Number
Premium

Carrier 2018

Carrier Name *
Enter Other Prior Carrier(2018) Name *
Policy Number
Premium

Please fill all the mandatory questions.

Miscellaneous

Please fill all the mandatory questions.

Select Agent(s) to Get Quote From:

Agent Info
Representing Companies
Barry M Kamran
Agency's Agent Rep
  • Barry M Kamran
  • 2072 Orchard Dr Newport Beach, Newport Beach, California, 92660
  • View Profile
  • Prudential
  • National General Insurance (GMAC)
  • National Life
  • Nationwide Mutual Insurance Company
  • Next Century Insurance
  • Ohio Mutual Insurance Company
  • Pacific Life
  • Philadelphia Insurance Companies
  • Principal Financial Group
  • Progressive
  • Modern Woodmen of America
  • RLI Corp.
  • Safeco
  • State Auto Insurance Company
  • The Hartford
  • The Philadelphia Contributionship
  • The Travelers Companies
  • Topa Insurance Company
  • Unified Life Insurance Company
  • Zurich Insurance Group
  • Hiscox Small Business Insurance Hiscox Insurance Company
  • Applied Underwriters
  • Assurant
  • Bankers Insurance Group
  • Berkshire Hathaway - GUARD
  • Chubb Corp
  • Cigna Health Spring
  • CNA Insurance
  • Colonial Life, Accident Insurance Company
  • Hanover Insurance
  • American Bankers Association
  • Infinity Insurance Company
  • Kaiser
  • Kemper Corporation
  • Liberty Mutual
  • MAPFRE U.S.A. Corp.
  • Markel Corporation
  • MassMutual
  • Mercury Insurance
  • MetLife


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