|  | If you currently have insurance please use current policy expiry date. | 
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| Preferred Method of Contact: | 
			
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		 Please provide the name of your current insurance company (not the broker). | 
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| Has any Insurer cancelled, declined, or refused you coverage?: | 
			
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| Do you act as a: | 
			
 
 Trade Specific Contractors or Sub-contractors please contact us for an application specific to your trade. | 
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		 Estimate | 
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| Do you request proof of liability insurance all sub-contractors?: | 
			
 If you do not currently do so, we recommend you begin this practice. An AC&D risk advisor will provide you with tools to assist. | 
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		 Over the next 12 months | 
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		 Over the next 12 months | 
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		 Townhouses, Apartment Buildings, Strata Buildings. Over the next 12 months | 
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		 Townhouses, Apartment Buildings, Strata Buildings. Over the next 12 months | 
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		 Over the next 12 months | 
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		 Over the next 12 months | 
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		 For example:
1. Single Family Residential, 1.2m;
2. Townhouse Unit Renovation, 300k;
3. Commercial Office Renovation, 500k | 
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		 For example:
1. Apartment Building New, 10m;
2. Single Family Residential New, 3.5m;
3. Residental Duplex New, 2.5m | 
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		 A wrap-up liability policy is a project specific liability policy obtained for a construction project to provide a single liability policy for the owners, the contractors, the professional consultants, and also the sub-contractors.  | 
| Is your business directly involved in any of the following operations (check all that apply): | 
			
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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| What Commercial General Liability Limits would you like quoted?: | 
			
 
 
 
 Check all options that you would like quoted | 
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		 Typically for smaller hand tools, valued at less than $1000 per item. | 
| Do you require property coverage for contractors equipment: | 
			
 
 Contractor's equipment is typically for larger items valued over $1000 per item such as excavators, cranes, backhoes, plows, breakers. | 
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		 Use this information to provide any additional information pertinent to your operations.  | 
|  | To confirm you aren't a bot! | 
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