Plumbing & Mechanical Insurance for Contractors
Your leading source for Plumbing and Mechanical insurance in the Northwest
 Serving Seattle Tacoma Bremerton and beyond.



        
Plumbing & Mechanical Contractor Insurance Questionnaire

Please fill out completely to help speed up the quoting process.
Name of Entity: *
DBA: *
Contact Name: *
Street Address: *
City/State: *
Phone Number: *
Email: *
Fax Number:
Company Website:
Years in Business:
Years of Experience:
Estimated Revenue:
Estimated Payroll:
New Construction %:
Repair Construction %:
Service %:
Commercial %:
Residential %:
Industrial %:
Plumbing %:
HVAC %:
Fire Place %:
Sprinkler %:
Total Number of Employees:
Number of Office Employees:
Number of Field Employees:
     
Plumbing Questions 
 Installation of High Pressure Systems (Flammables, Gases, etc)? YesNo
Installation of Fire Sprinkler Systems?    YesNo
 Are Fire Extinguishers Required at All Job Sites? YesNo
 Any Septic Tank Installations?  YesNo
 
HVAC Questions
Any LPG Work Done?  YesNo
Boiler Work Performed?   YesNo
Installation of Gas Starters for Fireplaces?  YesNo
 
List 5 Jobs Currently in Progress:
1. Customer Name & Description:
Cost of Project #1: Duration of #1:
2. Customer Name & Description:
Cost of Project #2: Duration of #2:
3. Customer Name & Description:
Cost of Project #3: Duration of #3:
4. Customer Name & Description:
Cost of Project #4: Duration of #4:
5. Customer Name & Description:
Cost of Project #5: Duration of #5:
    
List the Last 5 Jobs Completed:
1. Completed Project Name & Description:
Cost of Completion #1: Duration of Project #1:
2. Completed Project Name & Description:
Cost of Completion #2: Duration of Project #2:
3. Completed Project Name & Description:
Cost of Completion #3: Duration of Project #3:
4. Completed Project Name & Description:
Cost of Completion #4: Duration of Project #4:
5. Completed Project Name & Description:
Cost of Completion #5: Duration of Project #5:







A marketing arm of Redmond General Insurance Agency, Inc. - Copyright . Plumbingandmechanicalinsurance.com. All rights reserved.
Web Hosting Companies