Navigators ApplicantHow many years of experience do you have in the contracting businessText7Years in business of entities seeking coverageDate7_af_datefill_19fill_18fill_21fill_20fill_22fill_23fill_24fill_25fill_26fill_29fill_28fill_30fill_27Do you use subcontractors Choice1 Choice2 Annual costsPercentage of your work subcontracted outundefined_2undefinedList the trades of the subcontractors you use and give the percentage of your work they performText1Text5Text3Text6undefined_4undefined_3Do you always collect certificates of insurance from subcontractorsText2Text4Do you always collect certificates of insurance from subcontractors? Choice3 Choice1 What minimum General Liability limit is requiredDo you always require subcontractors to name you as an additional insured? Choice2 Choice4 Do you have a standard formal written contract with subcontractors? Choice3 Choice1 undefined_1 Choice2 Choice4 Note: Choice1 Choice3 How long do you maintain records of the above documentsOCIP Choice5 Choice6 Please explainStates in which you operateundefined_5undefined_6undefined_8undefined_7undefined_9undefined_10Payroll of employees other than owners officers partners clericalundefined_11undefined_12fill_29undefined_13Date9_af_dateDate8_af_dateText14Text17Date10_af_dateDate11_af_dateText15Text18Text16Text19Date13_af_dateDate12_af_dateDate20_af_dateText28Text24Text29Date21_af_dateText25Text26Date22_af_dateText30Text31Date23_af_dateText27Dollar value of average job completed including all materials labor equipmentHow many new homes will you build as a general contractor in the next yearWhat is the greatest number of new homes you have built in any one yearHow many additional insured endorsements do you anticipate needing in the next yearPlease explain page 2 Choice1 Choice2 Please explain_2Are you a licensed architect or engineer? Choice3 Choice4 Do you have any operations other than contracting? Choice1 Choice2 In the past 3 years have you owned, Choice3 Choice4 DescriptionDescription_2Condominiums Choice3 Choice1 4 Choice1 Choice2 Condominiums townhouses or lofts1 Choice1 Choice2 5 Choice1 Choice2 Apartments2 Choice1 Choice2 6 Choice1 Choice2 7 Choice1 Choice2 3 Choice1 Choice2 Description 19 Choice1 Choice2 Maximum degree of slopeDescription_310 Choice1 Choice2 Description_4If retaining walls have been or will be built maximum height11 Choice3 Choice4 DescribePercentage of operations12 Choice5 Choice6 Maximum heightIf so what percentageDescription_513 Choice7 Choice8 Maximum depthIf so what percentage_2Description_614 Choice9 Choice10 Description_715 Choice11 Choice12 16 Choice13 Choice14 Description_817 Choice15 Choice16 18 Choice1 Choice2 19 Choice3 Choice4 20 Choice5 Choice6 21 Choice7 Choice8 22 Choice9 Choice10 e 1e 2e 323 Choice11 Choice12 36 Choice13 Choice14 24 Choice13 Choice14 37 Choice2 Choice1 25 Choice2 Choice1 38 Choice1 Choice2 26 Choice1 Choice2 39 Choice1 Choice2 40 Choice1 Choice2 27 Choice1 Choice2 41 Choice1 Choice2 42 Choice1 Choice2 29 Choice1 Choice2 30 Choice13 Choice14 43 Choice2 Choice1 31 Choice2 Choice1 44 Choice1 Choice2 32 Choice1 Choice2 45 Choice1 Choice2 33 Choice1 Choice2 34 Choice13 Choice14 46 Choice2 Choice1 35 Choice2 Choice1 Explain any yes answers below and state whether performed by insured or subcontracted 1Signature of ApplicantDate3_af_dateName and Title
