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Toll-Free: 800-884-9991
Local: 408-227-9991
Fax: 408-227-8505

5671 Santa Teresa Blvd. #201
San Jose, CA 95123

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Contract Consultant

Many contractors within the High-Tech Industry are not in compliance with the insurance requirements contained in the agreements they have signed. Non-compliance in this area could cause termination of the agreement and could also cause the company you are performing work for to be penalized because you do not qualify as an independent contractor.

At Garland-Sturges & Quirk, we have designed a dedicated insurance program specifically designed for the hardware/software consultant.

In addition to providing the $1,000,000 liability coverage that your contract requires, we have bundled protection into this package to cover your equipment including laptops.

In most cases, coverage goes into effect the same day you call our office.

Quote Form

Business Profile
Effective Date
Business Name
Owner Name
Phone
Fax
Email
Website
Business Type
Expertise/Specialty
Mailing Address
Location of Office
(If different from
mailing address)
Consulting Type
Date Business Started
Building Profile
Building Age Of Office Location
Type of Alarm / Security
Square Footage
Construction
If building is over 30 years, please
provide years of update for:

Heating:

Electrical:

Roof:

Plumbing:

Additional Information
Prior Insurance Carrier
Claims
Drivers License Number
Drivers License State
Date of Birth
Certificate Required For
Address
Contact Number
Contact Fax
Consultant Questionnaire
Describe the types of services
provided for your clients? Please
be very specific.
What types of clients are served?
Are there written contracts spelling
out the scope of services rendered
to clients?

If so, may we have a copy?
Yes

Do you develop Custom Software?

If yes, please provide a product overview.

Do you customize/tailor pre-packaged
software?

If yes, please provide a product overview.

Do you do any network security?
All of the above would be written excluding products/completed operations, professional liability, Errors & Omissions, software and all other related exposures.
Total Number Of Employees
Full Time

Part Time

Prior Experience
Years experience in the industry
Years of management experience
Any previously owned business?

If so, please explain?

Products Liability Exclusion Agreement
  1. We understand that any claims arising from our products (or alleged to arise from our products) are NOT COVERED BY THE POLICY we have ordered through Garland-Sturges & Quirk.
  2. We further understand that the exclusion of products liability coverage also means the exclusion of any legal costs, which might be necessary to defend us against such claims, regardless of merit.
  3. Garland-Sturges & Quirk has further advised us that our contractual liability COVERAGES are limited. If we contractually agree to assume any liability for our products, we assume this personally as it is not insured by the policy we have ordered.
  4. We acknowledge that this exclusion of products liability coverage applies to all future policies, including any renewal policies or policies that might be placed with other companies in the future.
We have read this agreement and acknowledge these limitations.
 

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