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About you

First name

Last name

Phone

Company / DBA

Business address

Street

City

State

ZIP

About the business

Type of business

Selected: Smart Home Installation

Entity type

Number of owners active in the business

Brief description of the business

Employees & subcontractors

Any employees?

Any 1099 subcontractors used?

Claims & contracts

Any prior claims in the last 5 years?

Is there a specific contract with requirements you're trying to meet?

A few more details

Contractor license number (optional)

Do you perform any NEW residential construction?

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