Transcription of CONTRACTORS QUESTIONNAIRE – VELA …
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CONTRACTORS QUESTIONNAIRE – VELA …
January 2002 (rev. 05/01/05)1 CONTRACTORS 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. What were the operations? _____4. Does applicant currently own/operate any other business?YesNoIf yes, need name and percentage of ownership: _____What are the operations? _____5. Percentage of current operations: General contractor ____% Subcontractor ____% Constr.
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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