Strickland Insurance Brokers

Online Quote - Indication Only

*Complete and submit the form below and an underwriter will contact you as soon as possible with a quote.

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Agency Code

Agency

Agent Name

Agent Email

Insured's Name

Doing Business As Name

City:

State:

Zip:

Insured's Experience

Employee Payroll ($)

Number of Owners

Gross Receipts ($)

Are subcontractors used?

Subcontractor Annual Cost ($)

Prior Coverage

Any losses within the last three (3) years?

Dollar amount paid out on loss(es):

Effective Date Requested: (mm/dd/yyyy)

Coverage Limit Requested:

Class / Operation 1

Class / Operation 2

Class / Operation 3

Percentage of Total Operation

Percentages must total 100%

Each field must have a value greater than 0%

Carpentry

Interior or Exterior?

Percent Interior:

Percent Exterior:

Percentages must total 100%

Residential or Commercial?

Percent Residential:

Percent Commercial:

Percentages must total 100%

New Construction or Repair?

Percent New Construction:

Percent Repair:

Percentages must total 100%

Any work on Tract Homes?

Paint

Interior or Exterior?

Percent Interior:

Percent Exterior:

Percentages must total 100%

Plumbing

Residential or Commercial?

Percent Residential:

Percent Commercial:

Percentages must total 100%

Residential or Commercial?

Percent Residential:

Percent Commercial:

Percentages must total 100%

Roofing

Residential or Commercial?

Percent Residential:

Percent Commercial:

Percentages must total 100%

Give us a call: (919) 429-3028

*Complete and submit the form below and an underwriter will contact you as soon as possible with a quote.

This page will only work if Javascript is enabled on your browser.

Percentage of Total Operation

Carpentry

Paint

Plumbing

Roofing