BANCORP INSURANCE IS THE OREGON CONTRACTORS INSURANCE CONNECTION.
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General Liability Quick Quote
Full Name
Email Address
Organization
Business Name
Phone Number

Fax Number
Your City
Your County
Your Zip Code
Your Classification
Type of Work Percentage
New Commercial %
Commercial TI %
New Custom Homes %
Remodeling including Additions %
Remodeling no Room Additions %
Service and Repair %
Industrial %
Payroll of Employees (Excluding Owner & Clerical)
Number of Full-Time Field Employees  
(Excluding Owner & Office Employees)
Number of Part-Time Field Employees  
(Excluding Owner & Office Employees)
Total Annual
Gross Receipts

Total Annual
Sub Costs
Contractors License Number
Are You Currently Insured?
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Current Carrier
Do You Work On NEW Tracts?

 


 Answer NO if you work on EXISTING  TRACT HOMES!

Do you Work on NEW Condo's Townhouses or Apartments?
Remodel work on condo's, Townhouses and Apartments is not considered NEW Work
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This is not a binding contract of insurance.
The above obtained information is for the purpose of a Quick Quote
and is subject to the accuracy of the information provided.