Construction form

Company name

Company address

Company representative

Phone*

Main activity

What is the % of the turnover coming from the main activity of the insured?

Check the box to confirm that there is no exposure in the United States

If yes, indicate the turnover %

What is the % of outsourcing?

What is the number of years in business?

What is the number of years of experience?

Number of years without complaints?

RBQ license valid or obtain within 90 days?

Check to confirm: max 10% of evaluation services revenue and no engineering services

Amount of turnover

% Residential

% Commercial

% Industrial

% Institutional

% Agricultural

Builder tools

Builder Equipment

Content

Installation risk

Guarantee extend

Public liability

*Required fields