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Tower Contractors General Liability
Enter information about your business, the more detailed the information the better the quote. Items with a red asterisk are required. All other item can be skipped if needed. Detail boxes will open when further explanation is needed, the pop up can be clicked to toggle off.
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Indicates required field
Contact Name
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First
Last
Mailing Address
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Line 1
Line 2
City
State
Zip Code
Country
Business Name
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Location Address (If different from mailing)
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Business Phone
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Cell Phone
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Website
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Business Operations
Business Type
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Individual
Corporation
Limited Liability Company
Partnership
Non-Profit
Years Establised
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Year Experience
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No. of Owners
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If partnership, LLC or Corporation, list the total number of partners, members or corporate officers.
Owners Payroll
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Enter total annual payroll for all owners
Describe Your Business Operation
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Insurance Requirements
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Crown Castle Requirements
American Tower Requirements
Other Company Requirements
Employer or Tax ID Number
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Annual W2 Payroll
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List your total annual payroll for all W2 employees. Do Not Include owners payroll.
Number of Employees
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Enter only W2 employees do not count any 1099 paid employees.
Annual Insured Sub-contrated Labor
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List annual amount paid to all insured subs. They must have equal limits, name you as an additional insured on their policy and a "hold harmless" agreement with you(r) company.
Annual Uninsured Payroll
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If you have use any uninsured sub labor, list the annual amount of payroll.
Contractor License Number (if you are licensed)
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Year License Issued
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Licensed under other name, last 10 years?
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If you've been licensed under any other name during the past ten years, provide name and describe type of operation.
Estimated Annual Gross Revenue
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List your estimated gross revenue (all income before any expenses) that you expect within the next 12 months (from today forward).
Customers - list your top three customers and services performed:
Customer 1
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Customer 2
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Customer 3
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Services 1
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Services 2
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Services 3
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Projects:
Project 1
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Project 2
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Project 3
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Project 1 Cost
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Project 2 Cost
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Project 3 Cost
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Project 1 Duration
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Project 2 Duration
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Project 3 Duration
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Additional Information
Average height of towers serviced
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Maximum height of towers serviced
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Any work on towers located on buildings
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Operations -select all that apply
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We use written contract with all customers
We provide architechural or engineering design
We are a constructon/project manager or consultant
We do welding, brazing and/or cutting
Other Coverage Needed
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We need workers compensation
We need business auto coverage
We need excess/umbrella coverage
We need equipment coverage
We need a bond
We need our office/building covered
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