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Main Office (413) 726-3930
info@your-bis.com

  Services home / contactor electronic form

Contactor Electronic Form

You can submit your contactor form electronically by filling out the form below.  If you have any questions, please feel free to contact our main office at (413) 726-3930 or info@your-bis.com

yes
no
yes
no
yes
no

Do you require them to name you additional insured on their General Liability Policies

Are written contactors obtained from all subcontractors which
include a hold harmless clause in your favor?
yes
no
Indicate Type of Work %:
yes
no
yes
no
yes
no
yes
no
Have you ever been involved as a General Contactor
in the building of Residential Homes, Condominiums,
Townhouses or Apartment Buildings?
yes
no
If yes, indicate the maximum number build during any
12-month period during the last five years
yes
no
yes
no
yes
no
Which States do you currently or plan to operate or in which
you have a contactor's license?

Contact Us


Business Insurance Services Inc.
933 East Columbus Ave.
Springfield, MA 01105

Phone: (413) 726-3930
Fax: (413) 726-3931
Email: info@your-bis.com

 

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