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General Liability Application
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Accelerate general liability underwriting with intelligent document processing. Extract business operations, revenue data, and exposure bases automatically. Enable accurate classification and faster commercial quotes.
general-liability-application.pdf
Viewer
JSON
application_date
2024-03-22
application_number
GL-APP-2024-123456
business_name
Premier Construction Services Inc.
dba
Premier Builders
business_address
2500 Contractor Lane, Denver, CO 80201
mailing_address
PO Box 2500, Denver, CO 80202
business_phone
(303) 555-0678
business_email
insurance@premierbuilders.com
fein
84-1234567
business_type
Corporation
date_established
2010-06-15
nature_of_operations
General contractor - commercial and residential construction
sic_code
1522
naics_code
236220
annual_gross_receipts
8500000
annual_payroll
2200000
number_of_employees
35
subcontractor_costs
3000000
coverage_requested
each_occurrence: 1000000, general_aggregate: 2000000, products_completed_ops: 2000000, personal_advertising_injury: 1000000, damage_to_rented_premises: 100000, medical_expense: 10000
additional_coverages
Blanket Additional Insured, Waiver of Subrogation, Primary Non-Contributory
Work_performed
3 items
description
percentage
Commercial construction
60
Residential construction
30
Remodeling
10
geographic_area
Colorado
prior_carrier
Contractors Insurance Co
prior_policy_number
GL-2023-789012
current_premium
35000
claims_last_5_years
1
general-liability-application.pdf
Viewer
JSON
application_date
2024-03-22
application_number
GL-APP-2024-123456
business_name
Premier Construction Services Inc.
dba
Premier Builders
business_address
2500 Contractor Lane, Denver, CO 80201
mailing_address
PO Box 2500, Denver, CO 80202
business_phone
(303) 555-0678
business_email
insurance@premierbuilders.com
fein
84-1234567
business_type
Corporation
date_established
2010-06-15
nature_of_operations
General contractor - commercial and residential construction
sic_code
1522
naics_code
236220
annual_gross_receipts
8500000
annual_payroll
2200000
number_of_employees
35
subcontractor_costs
3000000
coverage_requested
each_occurrence: 1000000, general_aggregate: 2000000, products_completed_ops: 2000000, personal_advertising_injury: 1000000, damage_to_rented_premises: 100000, medical_expense: 10000
additional_coverages
Blanket Additional Insured, Waiver of Subrogation, Primary Non-Contributory
Work_performed
3 items
description
percentage
Commercial construction
60
Residential construction
30
Remodeling
10
geographic_area
Colorado
prior_carrier
Contractors Insurance Co
prior_policy_number
GL-2023-789012
current_premium
35000
claims_last_5_years
1
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