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General Eligibility Questions.

• Have you or your business had more than two claims in the past 5 years, or had any circumstances that may give rise to a claim whether insured or not? Yes No
• Have you or your business in the past 5 years had a single claim over $15,000? Yes No
• Does any named insured(s), officer(s), owner(s) or partner(s) have a prior felony conviction and/or had involvement in business related lawsuits, mediations or arbitrations in the last 5 years? Yes No
• Has your business ever declared bankruptcy? Yes No
• Does the applicant have 3 or more years’ experience in this industry? Yes No

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Subcontractors

(Note:-subcontractor premiums are a fixed cost on this policy.)

• Do you use subcontractors?
  Yes No

What is the frequency of your payroll?

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