Zoom Professional Services

This is an audit for your policy to verify accuracy of information.

Company Name*

Policy Number*

Detailed Description of Operations:*

# Of Employees (Excluding Owner)*

Gross Payroll (Excluding Owner) $*

Number of Projects or Homes Started:*

Number of Projects or Homes Completed:*

Gross Receipts:*

Please select the appropriate operations that describe your work:*

To select multiple classes hold down the Ctrl key while selecting.

Other operations - please clarify:*

Excavation - please clarify how many feet down?*

Do you use Subcontractors?*

Dollar Amount of Work Subcontracted:*

What minimum General Liability limit is required?*

Do the subcontractor(s) provide certificates of insurance?*

Do you provide supervision for the subcontractors?*

Do you have a written contract agreement with the subcontractor(s)?*

If so, is there a “Hold Harmless” clause in your favor in the contract?

Do you always require subcontractor(s) to name you as additional insured?*

Type of Work & Job Operations

Percent of Remodeling / Service / Repair:*

Percent of New Construction:*

Percent of Commercial Construction:*

Percent of Residential Construction:*

Check all boxes that apply to your business:*

Other, please specify:*

***IMPORTANT*** PLEASE SUBMIT THE FOLLOWING REQUIRED DOCUMENTATION FOR THE POLICY TERM: Profit & Loss Statement ( ); OR Bank Statements ( ) These documents should summarize your revenue, costs and expenses incurred during the policy period.

Drop files here or

Audit Completed by:*

Date:*

Email address:*

Contractor’s License Number (If Applicable):

By submitting the audit, I am confirming that all information included is accurate, official and not forged.

I Agree

Audit Submit Online

Type of Work & Job Operations

Links

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A/C Refrigeration
A/C System Installation
Appliance & Accessories Installation
Carpentry Exterior
Carpentry Interior
Cleaning (Outside Building)
Concrete (Flat)
Concrete Foundation
Drilling
Debris Removal
Door/Window Installation
Drywall
Electrical
Excavation
Fencing
Floor Covering Installation
Garage Door Installation
General Contractor New Residential
General Contractor New Commercial
Glass Installation/Glazing
Grading
Handyman
HVAC
Insulation
Janitorial
Landscape
Masonry
Metal Erection (Decoration Only)
Painting Interior
Painting Exterior
Plastering/Stucco
Plumbing
Pressure Washing
Remodel Contractor Residential
Remodel Contractor Commercial
Roofing
Septic Tank Install & Service
Sheet Metal
Siding and Decking
Street/Road Paving (Commercial)
Swimming Pool Cleaning
Swimming Pool Installation
Tile & Marble Installation
Tree Trimming
Water Drilling
Welding (Non-Structural Only)
Other: