Audit Submit Online "*" indicates required fields This is an audit for your policy to verify accuracy of information.Company Name*Policy Number*Detailed Description of Operations:*Number 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:*A/C RefrigerationA/C System InstallationAppliance & Accessories InstallationCarpentry ExteriorCarpentry InteriorCleaning (Outside Building)Concrete (Flat)Concrete FoundationDrillingDebris RemovalDoor/Window InstallationDrywallElectricalExcavationFencingFloor Covering InstallationGarage Door InstallationGeneral Contractor New ResidentialGeneral Contractor New CommercialGlass Installation/GlazingGradingHandymanHVACInsulationJanitorialLandscapeMasonryMetal Erection (Decoration Only)Painting InteriorPainting ExteriorPlastering/StuccoPlumbingPressure WashingRemodel Contractor ResidentialRemodel Contractor CommercialRoofingSeptic Tank Install & ServiceSheet MetalSiding and DeckingStreet/Road Paving (Commercial)Swimming Pool CleaningSwimming Pool InstallationTile & Marble InstallationTree TrimmingWater DrillingWelding (Non-Structural Only)Other: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?*Please selectYesNoDollar Amount of Work Subcontracted:* ***IMPORTANT*** PLEASE SUBMIT ONE OF THE FOLLOWING REQUIRED FINANCIAL DOCUMENTS FOR THE POLICY TERM Profit & Loss Statement Bank Statements Tax Returns (only if the policy term is on a calendar year or the company’s fiscal year) These documents should summarize your revenue, costs, and expenses incurred during the policy period.***IMPORTANT*** PLEASE SUBMIT ONE OF THE FOLLOWING REQUIRED FINANCIAL DOCUMENTS FOR THE POLICY TERM - Profit & Loss Statement - Bank Statements - Tax Returns (only if the policy term is on a calendar year or the company's fiscal year) These documents should summarize your revenue, costs, and expenses incurred during the policy period. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 20 MB. Audit Completed by:*Date:* MM slash DD slash YYYY 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 EmailThis field is for validation purposes and should be left unchanged.
