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Contractor Inspection Supplemental Worksheet
1. Describe in detail all construction operations the insured performs to confirm the policy accurately reflects the appropriate exposures.
*
2. Confirm the states in which the insured performs operations:
*
3. Does the insured maintain adequate licenses per state requirements?
*
Yes
No
4. Provide annual estimated:
Receipts (In dollars):
*
Payroll (In dollars):
*
Subcontractor costs (In dollars):
*
5. Has the contractor provided an estimated average number of new residential units constructed annually?
*
Yes
No
Estimated number of new residential units constructed annually:
*
6. Does the insured have any interest in any other construction companies or construction operation?
*
Yes
No
Provide details, including specifics on all legal entities and services performed:
*
7. Determine whether the insured performs new construction on the following:
Condominiums:
*
Yes
No
Townhomes:
*
Yes
No
Apartment to condominium or townhome conversions:
*
Yes
No
8. Confirm:
The insured or subcontractors do not work with EIFS or synthetic stucco products/systems:
*
Yes
No
The insured does not directly perform asbestos remediation work:
*
Yes
No
9. Verify that the insured obtains Certificates of Insurance that include:
Limits of liability at least equal to the insured's coverage:
*
Yes
No
Additional insured endorsement in the insured's favor:
*
Yes
No
Verification of Workers Compensation or similar insurance:
*
Yes
No
10. Documentation Verification
Is there a written quality control program in place for each project?
*
Yes
No
If no, provide complete details:
*
Is continuous documentation of compliance kept throughout the project?
*
Yes
No
If no, provide complete details:
*
Are all subcontractor activities documented throughout each project?
*
Yes
No
If no, provide complete details:
*
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