Pronto Insurance Agency
425-746-3000
Home
Services
Quotes
Information
Glossary
Request
Contact
Quotes
: Contractor Quote
General Information
Company Name (as it appears on the license)
*
Company Structure
LLC
Individual
Partnership
Corporation
Business Address (street, city, state, zip)
*
Email
Business Phone
*
Alternative Phone
Fax
Line of Work
Specialty Contractor
General Contractor
Electrical Contractor
In Business Since
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
Experience Years
less than 1 year
1 year
2 years
3 years
4 years
5+ years
UBI #
Effective Date
Please describe your business (as detailed as possible)
*
Have you previously had any losses or claims? If yes, please explain
Please list all owners
Full Name (as on the license)
*
Date of Birth
SSN
Spouse Name (first, middle, last)
Spouse Date of Birth
Spouse SSN
Address (street, city, state, zip)
remove owner
Please describe where do you mostly do you work. Each row should add up to 100%.
% Residential
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
% Commercial
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
% Industrial
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
= 100%
% New construction
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
% Remodeling
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
% Repair
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
= 100%
% Houses
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
% Apartments
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
% Condos
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
= 100%
List your largest projects (past and future)
Date (mm/yyyy)
Description (project, city. For example: kitchen remodeling, Renton)
Cost $
Date (mm/yyyy)
Description
Cost $
Date (mm/yyyy)
Description
Cost $
Number of Owners
Next 12 months
One year ago
Two years ago
Number of Employees
Next 12 months
One year ago
Two years ago
Employees Payroll $ (12 months total for all employees)
Next 12 months
One year ago
Two years ago
Estimated Gross Reciepts $ (12 months total for labor and materials)
Next 12 months
One year ago
Two years ago
Estimated Subcontractor Cost $ (12 month total)
Next 12 months
One year ago
Two years ago
Insurance Required
Coverage
<select>
300K/600K
500K/1M
1M/2M
Stop Gap
Umbrella
Commercial Auto
Do you need a Bond?
Current Insurance
Current insurance company
Expires on
Premium
Years Insured
less than 1 year
1 year
2 years
3 years
4 years
5+ years
Current bond company
Expires on
Premium
Years Bonded
less than 1 year
1 year
2 years
3 years
4 years
5+ years
Any other comments ?
Please fill out all required fields before submitting this form