Skip to main content



#

Call Us Today!

Call Us Today! (718) 527-5700

Home
Personal
Business
Other
Quotes
Company
Service
Blog
Contact

Automobile
Boat
Classic & Antique Cars
Condominium
Earthquake
Flood
Homeowners
Manufactured Homes
Motorcycle
Motorhome/RV
Renters
Off-Road Vehicles
Umbrella

Bonds
Business Owners Policy
Commercial Auto
Commercial Property
Commercial Umbrella
Contractors
Employment Practices Liability (EPLI)
Errors and Omissions
Garage Owners
General Liability
Group Life
Liquor Liability
Professional Liability
Rental Properties
Restaurant Insurance
Workers Compensation

Annuities
Final Expense
Life
Long Term Care

About Us

Make A Payment
File A Claim
Client Report Card
Refer A Friend

Contractors Insurance Quote

Contact Information

First name:

Last name:

Business Name:

Mailing Address:

Email Address:

Telephone Number:

Fax Number:

Business Information

Type of operation:

Describe operations in detail:

License class:

License Number:

Limit of Liability Coverage Requested?

$300000

$500000

$1 Million

Currently Insured?

Yes

No

Name of Carrier:

How long insured? (years)

Prior Claims?

Yes (if yes describe below)

No

Describe claims in detail:

Years in business:

Years experience in field:

Percentage of work residential:

Percentage of work commercial:

Number of Active Owners:

Number of Employees:

Annual Employee Payroll: $

Annual Gross Sales: $

Do you subcontract work?

Yes

No

(If yes what percentage of your work is subbed and what kind of work?)

Do you do foundation work?

Yes

No

Do you work on condos?

Yes

No

Do you have a safety program?

Yes

No

Comments or Questions:

I understand that coverage
cannot be bound or altered by this
form submission request until the information
has been specifically
confirmed by one of our representatives
by phone or email.

Do not enter anything in this field:

Submit

Company

About Us
Blog

NY Licence #1313166

Get A Quote

Auto Insurance Quote
Home Insurance Quote
Renters Insurance Quote
Umbrella Insurance Quote

Client Services

Service
File A Claim
Client Report Card
Refer A Friend

Contact Us

The Rainey Agency, Inc.
230-12 Merrick Blvd
Laurelton, NY 11413
Phone: (718) 527-5700
Contact Us

Terms & Conditions | Copyright | Privacy Policy
© 2016 The Rainey Agency, Inc.

insurance websites | webmail login | admin login