CONTRACTORS QUESTIONNAIRE – VELA …

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January 2002 (rev. 05/01/05)1CONTRACTORS QUESTIONNAIRE VELA insurance SERVICESALL QUESTIONS MUST BE ANSWERED (Attach additional paper if necessary)1. Applicant: ________________________________________ ______________________A. Years in business under current name: _________B. Describe your Operations: ________________________________________ _________________C. Do you have any other operations active or inactive?YesNo If yes, please explain: ________________________________________ ____________________2. contractor s license number: __________________ States in which you do business: ____________A. New York State Applicants: Any work in the five boroughs of New York?YesNo3. List all other business names & licenses active or inactive applicant has used in the past 10 years:__________________________________ ________________________________________ __________A.

January 2002 (rev. 05/01/05) 1 CONTRACTORS QUESTIONNAIRE – VELA INSURANCE SERVICES ALL QUESTIONS MUST BE ANSWERED (Attach additional paper if necessary) 1. Applicant: _____ A. Years in business under current name: _____

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