Contractor coverage programs are our specialty.

 

When you're in business, a personal auto policy doesn't cut it. Get proper coverage and protect yourself and your business. To request a quote, fill out the form below or call us at 1-800-591-9692.

 

Request a Quote

SECTION 1 - Your Information

* Business Name:
     
* Contractor License Number:
     
  How did you hear about us?
Referral if so by
Current Client
Had Prior First Service Policy
Flyer
Online Search
Phone Book
Other
     
  Owner/Contact Name:
     
* Business Phone:
     
  Fax:
     
* Email:
     
  Description of your operation:

 

SECTION 2 - Your Coverage Details

  Requested Liability Limit: Combined Single Limit
    If other, please specify requirement
     
  Comprehensive Deductible:
     
  Collision Deductible:
     
  Hired & Non-Owned Liability requested?
     
  Do you need an MCP65?
     
  CA #:

 

SECTION 3 - Your Vehicle Information

  Number of vehicles for which you need quotes:
     
Vehicle 1:
     
  Year:
     
  Make:
     
  Model:
     
  VIN #:
     
Vehicle 2:
     
  Year:
     
  Make:
     
  Model:
     
  VIN #:
     
Vehicle 3:
     
  Year:
     
  Make:
     
  Model:
     
  VIN #:
     
Vehicle 4:
     
  Year:
     
  Make:
     
  Model:
     
  VIN #:
     
Vehicle 5:
     
  Year:
     
  Make:
     
  Model:
     
  VIN #:
     
Vehicle 6:
     
  Year:
     
  Make:
     
  Model:
     
  VIN #:
     
Vehicle 7:
     
  Year:
     
  Make:
     
  Model:
     
  VIN #:
     
Vehicle 8:
     
  Year:
     
  Make:
     
  Model:
     
  VIN #:
     
Vehicle 9:
     
  Year:
     
  Make:
     
  Model:
     
  VIN #:
     
Vehicle 10:
     
  Year:
     
  Make:
     
  Model:
     
  VIN #:
     
  Number of drivers to be included in the quote?
     
Driver 1:
     
  Name on License:
     
  License Number:
     
Driver 2:
     
  Name on License:
     
  License Number:
     
Driver 3:
     
  Name on License:
     
  License Number:
     
Driver 4:
     
  Name on License:
     
  License Number:
     
Driver 5:
     
  Name on License:
     
  License Number:
     
Driver 6:
     
  Name on License:
     
  License Number:
     
Driver 7:
     
  Name on License:
     
  License Number:
     
Driver 8:
     
  Name on License:
     
  License Number:
     
Driver 9:
     
  Name on License:
     
  License Number:
     
Driver 10:
     
  Name on License:
     
  License Number:

 

SECTION 4 - Your Coverage History

  Current Insurance Carrier:
     
  Policy Expiration Date:
     
  Any claims in the last five years?
Yes, if so please provide a brief detail of the number and the $ amount of claims with dates. We will work to get the best quotes and be in touch for more details.
 
No claims.
     
  Are you satisfied with your old broker's service?
Yes
No, then What is the problem with your old Broker?
 

 

Please note that insurance transactions, – requests to incept, change or otherwise alter coverage, – are NOT effective without written acknowledgement from the carrier issuing coverage. First Service will notify you in writing when the carrier has confirmed your request.

 

LIC #0C13473

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