3 Mill St. Ste. 3 | Attleboro, MA 02703
Fax: 508.465.3370
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Contractors Quote
Welcome to our Contractors Quote Page. Please fill out the quote form below or you can feel free to
email
or
fax
your existing policies for a no-obligation comparison quote & policy review.
We have been successful with some of the following categories: Electricians, Plumbers, Painters, Carpentry, Remodeling, Landscapers, Masonry, Flooring & Tile, Heating & A/C, Lawn Sprinkler Installation, Handymen, Janitorial & Cleaning Services and more...
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Contact/Owner Info
First Name
Required
Last Name
Required
E-Mail
Required
Phone
Required
Alternate Phone Number
Optional
Preferred Contact Method
Optional
E-Mail
Telephone
Company Information
Company Name
Optional
Street
Optional
City
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State
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Postal Code
Required
Description of Business Operations
Type of Business
Required
Number of Owners
Optional
Number of Years In Business
Optional
0 - Start-up
1
2
3
4
5
6
7
8
9
10+
If Start-Up, How Many Years Experience in Field?
Optional
Number of Full Time Employees
Optional
None
1
2
3
4
5
6
7
8
9
10
More than 10
Number of Part Time Employees
Optional
None
1
2
3
4
5
6
7
8
9
10
More than 10
Annual Employee Payroll
Optional
Subcontractors Used
Optional
Yes
No
Percentage of business you subcontract to others
Optional
No Subcontractors Used
Less than 10%
Between 10% & 25%
Over 25%
Percentage of your business that is commercial
Optional
Percentage of your business that is Residential
Optional
Additional Information
Do you currently have insurance?
Optional
Yes
No
List any claims in past 3 years:
Optional
Current Insurance Provider
Optional
Additional Comments
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Additional Comments
Important Notice
Holman Insurance Agency, Inc. cannot bind, modify or cancel coverage via submissions to our website or by messages sent through e-mail. Completion and submission of this form or e-mail does not constitute either a binder or an application for insurance. Changes to policies are not effective or binding until you or any party involved receive official notice from either Holman Insurance Agency, Inc. or your insurance company.
If you have any questions, please feel free to
Contact Us
.
Per the terms of our
online privacy policy
we will not resell your information to any third-party.