Skip to main content





#

Call Us Today!

Home

Home
Personal
Business
Quotes
Company
Service
Resources
Contact
Blog

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

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

About Us
Meet Carter Glass
Testimonials
Careers
Client Report Card
Refer A Friend

File A Claim
Update Contact Information
General Certificate of Insurance
Homeowners Association Certificate of Insurance

Forms
Helpful Links
FAQ's

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
Meet Carter Glass
Testimonials
Careers
Client Report Card
Refer A Friend

Get A Quote

Quotes

Client Services

File A Claim
Update Contact Information
General Certificate of Insurance
Homeowners Association Certificate of Insurance

Resources

Forms
Glossary
Helpful Links
FAQ's

Contact Us

Carter Glass Insurance Agency
5901 Falls of Neuse Rd.
Raleigh, NC 27609
Phone: (919) 781-1973
Email Us

Wake Living Winner Award

Terms & Conditions | Copyright | Privacy Policy
©2008-2021 Carter Glass Insurance Agency
North Carolina License: #1000331173

Insurance Web Designs - Insurance Websites | webmail login | admin login