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3 Mill Street, Suite 3 
Attleboro, MA 02703
 
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Contractors Quote


Welcome to our Contractors Quote Page.  Please fill out the quote form below or you can feel free to email or fax your existing policies for a no-obligation comparison quote & policy review.  We have been successful with some of the following categories: Electricians, Plumbers, Painters, Carpentry, Remodeling, Landscapers, Masonry, Flooring & Tile, Heating & A/C, Lawn Sprinkler Installation, Handymen, Janitorial & Cleaning Services and more...

Contact/Owner Info
First Name *
Last Name *
E-Mail Address *
Primary Phone Number *
Alternate Phone Number
Preferred Contact Method

Company Information
Company Name
Street
City
State
ZIP / Postal Code *
Description of Business Operations
Type of Business *
Number of Owners
Number of Years In Business
If Start-Up, How Many Years Experience in Field?
Number of Full Time Employees
Number of Part Time Employees
Annual Employee Payroll
Subcontractors Used
Percentage of business you subcontract to others
Percentage of your business that is commercial
Percentage of your business that is Residential
Additional Information
Do you currently have insurance?
List any claims in past 3 years:
Current Insurance Provider
Additional Comments
Submission Validation
Required

Important Notice
Holman Insurance Agency, Inc. cannot bind, modify or cancel coverage via submissions to our website or by messages sent through e-mail. Completion and submission of this form or e-mail does not constitute either a binder or an application for insurance.  Changes to policies are not effective or binding until you or any party involved receive official notice from either Holman Insurance Agency, Inc. or your insurance company.  If you have any questions, please feel free to Contact Us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
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3 Mill St. Ste 3
Attlleboro, MA 02703
Tel:   508-222-0794
Fax:  508-465-3370 

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