• Home
  • Contact Us
  • About Us
  • Get A Quote
  • Make a Payment
  • Testimonials
  • Rental Car Article
  • Blog
  • Privacy Policy
Call Us CALL US TODAY | 814.580.9992
Home
  • Home
  • Contact Us
    • Contact Us
    • About Us
  • Resources
    • Rental Car Article
    • Refer and Win Information
    • Refer a Friend
    • Auto Insurance Articles
    • Privacy Policy
  • File a Claim
    • File a Claim
    • ERIE Policy
    • Progressive Policy
    • Travelers Personal Policy
    • Travelers Commercial Policy
    • Farmers Policy
  • Get a Quote
    • Auto Insurance Quote
    • Homeowners Insurance Quote
    • Renters Insurance Quote
    • Motorcycle Insurance Quote
    • Watercraft Insurance Quote
    • Business Owners (BOP) Quote Form
    • Commercial Auto Insurance Quote
    • Contractors Quote Form
    • General Liability Quote Form
    • Workers Compensation Quote
  • Request ID Card
  • Make a Payment
    • Make a Payment
    • ERIE Policy
    • Progressive Policy
    • Traveler's Policy
    • Farmers Policy
  • Blog
  • Testimonials
  • Videos
    • All Videos
    • News Clips
    • Support Local Businesses
    • Charity Support
    • Whiteboard Videos
    • Miscellaneous
Auto Insurance AUTO

Auto insurance protects you against financial loss if you have an accident.

Read More
Homeowners Insurance HOME

A standard policy insures the home itself and the things you keep in it.

Read More
Commercial Products COMMERCIAL PRODUCTS

Discover the perfect insurance options to meet your specific and unique needs.

Read More
Life Insurance LIFE

Browse a variety of insurance options in order to find the right one for you.

Read More
Motorcycle Insurance MOTORCYCLE

Learn about different coverage options that fit your specific needs.

Read More
Hotel/Motel Insurance HOTEL / MOTEL

Finding insurance doesn't have to be difficult. We do the work for you.

Read More
Home > Business Commercial > Contractors Quote Form
Secured by SSL

Contractors Quote Form


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Personal Information
Company Name *
First Name *
Last Name *
Street *
City *
State *
ZIP / Postal Code *
Primary Phone Number *
E-Mail Address *
How many years of experience do you have?
Number of years in business
Nature of Business
Type of work performed?
Any Claims or potential claims in last 5 years?
Have you filed for bankruptcy in the past 7 years?
Ever been arrested for any reason?
Percentage of residential vs. commercial work?
Percentage of work subcontracted?
Offering any sole-roofing jobs?
Plumbing contractors only: Any work with LP?
What limit of Liability coverage do you need?
Are you performing your work in a building you own?
Do you need any coverage for your tools or equip?
Number of employees and total annual payroll?
Gross sales projection for the next 12 months.
Submission Validation
Required

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, 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.
Secured by SSL
Insurance Websites Designed and Hosted by Insurance Website Builder
Facebook
Twitter
LinkedIn
Instagram
YouTube
Carriers
Carriers
Carriers
Carriers
Carriers
Carriers
Carriers
Twitter Logo

Resources

Home About Us Get a Quote Rental Car Article Newsletter Contact Us

Contact Us

  • 4627 Peach Street
  • Erie, PA 16509
  • –
  • O: 814.580.9992
  • F: 814.866.5730
  • E: info@manlafins.com
© Copyright. All rights reserved.
Powered by Insurance Website Builder