Request a Quick Quote

(Includes General Liability, Mold Coverage, Pollution, and Products and Completed Operations)

This Form is for GL, Pollution, Mold and/or Professional Coverage. BISA’s specialty insurance program is available for Restoration Contractors, Environmental Contractors (Abatement, Soil Remediation, Haz-Mat, etc.), and Environmental Consultants. Inquiries for other classes of business are welcome.

Full Company Name (Including DBA)(Required)

Brief Description of Operations(Required)

Contact Person(Required)

Phone Number(Required)

Email(Required)

Business Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website

Previous 12 Months Gross Sales(Required)

Previous 12 Months Subcontracted Costs(Required)

Estimate of Next 12 Months Gross Sales(Required)

Insurance Expiration Date

Target Insurance Effective Date(Required)

Current GL/Pollution Insurance Company(Required)

Have you had any insurance claims against you within the past 5 years?(Required)

Yes

How did you hear about BISA?(Required)

Online Ad

Online Search

Word of Mouth

Returning Client

Email or Print Advertising

Other

If "Other," please describe.

McNeil & Co. is committed to making the application process as simple as possible for our customers. Complete the form at left, and a member of our team will contact you with a quote – or contact us to get more info.

Questions?

Call (800) 822-3747 or email us.