Contractor Ez Quote Form Page 7
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7Painting/Drywall/Insulation Operations
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What percentage of work is:
Interior: ______%
Exterior: _____%
Please check all work performed:
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Latex Base Painting
Powder Coating
Sand Blasting
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Lead Paint Removal
Oil- Base Painting
Other: ___________
What type of insulation is installed?
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Blown In
Fireproofing Insulation
Rock Wool
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Cellulose
Spray Foam
Other: ____________
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Fiberglass
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How are materials transported above ground level?
N/A
Concrete Operations
Please check all work performed:
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Concrete Panel Installation
Curb/Driveways/Sidewalks
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Concrete Pumping
Gunnite Work
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Concrete Structures (i.e. parking structures)
Street/Road Work
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Concrete Tilt Up Work
Swimming Pool Construction
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Concrete Work for 1-2 Single Family Dwellings
Other: ____________
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Are chemicals, acids or epoxies used for concrete treatments?
Yes
No
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Are proper time wage records maintained for each operation?
Yes
No
Street/Road/Bridge Operations
Please check all work performed:
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Bridge Work
Forest Clearing For Roads
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Beautification Work
Forest Clearing For Utilities
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Culvert Work Exceeding 10 ft. of Clearance
Painting for Streets
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Culvert Work Less Than 10ft. of Clearance
Other: ____________
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Forest Clearing For Fires
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Is the risk responsible for traffic control?
Yes
No
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Does the insured perform sub-surface work?
Yes
No
Thank you for completing New Mexico Mutual's Underwriting' EZ Quote Form. Please return this form to your assigned underwriter and
we will review your account for our best pricing options.
Page 7 of 7
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Parent category: Financial