General Liability - ContractorHelpers

Step 1 of 5 20%

Business

1 Business

2 Work Mix

3 Receipts & Employees

4 Coverage

5 Review

Referral, license, and business information

Start with how you heard about us, then use the license lookup to prefill what we can.

How did you hear about us?

CSLB License Number

Optional — if found, we will prefill available business and mailing information.

Tip: Use your CSLB license number to prefill business name, phone, and mailing address options.

Full Legal Business Name

Entity Type / Business Type

Main Contact Name

Primary Contact Email

Primary Contact Phone

Mailing Address If lookup found an address, you can choose it here. You can also enter address manually below.

Mailing Address

Mailing City

Mailing State

Mailing ZIP

Description of Business Operations

Work performed and occupancy

Start with commercial vs residential, then break down the kind of work you perform.

Commercial vs Residential

Commercial %

Residential %

Commercial % and Residential % should total 100%.

Type of Work Performed

ⓘ

Service & Repair %

Remodel %

New Construction %

Service & Repair %, Remodel %, and New Construction % should total 100%.

Coverage

Select your desired policy limits and optional umbrella amount.

Desired Policy Limits

Umbrella Needed?

Yes

Any Claims in the Past 5 Years?

Yes

Review your submission

Please confirm the information before sending your request.

Referral Source

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License Number

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Business Name

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Business Type

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Main Contact Name

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Email Address

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Phone Number

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Mailing Address

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Description of Operations

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Commercial %

—

Residential %

—

Service & Repair %

—

Remodel %

—

New Construction %

—

New Construction Type

—

Annual Receipts

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Subcontractor Costs

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Number of Employees

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Approximate Annual Payroll

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Desired Policy Limits

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Umbrella Needed

—

Umbrella Amount

—

Claims in Past 5 Years

—

Claims Details

—

Verification

Please verify before submitting your general liability request.

General Liability Submission

Referral, license, and business information

Work performed and occupancy

Commercial vs Residential

Type of Work Performed

New Construction Details

Receipts and employees

Coverage

Review your submission