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    Industries We Insure

    Our team serves all types of businesses across the country specializing in a variety of industries. Here’s some of the most popular types of businesses.
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    Midwest Insurance Center

    944 U.S. Hwy 30
    Schererville, Indiana 46375
    Phone: 219-864-3333
    Fax: 219-864-9393
    Email: info@midwestic.com

    M-F 8:30am – 5pm CST

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  • 219-864-3333We’re here to help
Midwest Insurance Center Logo
  • Business

    Business Insurance

    We provide small businesses with a variety of different coverage & policy options that fit their needs.
    View All
    Need a policy recommendation?
    Answer 3 questionsAnswer 3 questions
    Builders Risk
    Business Interruption
    Business Owners Policy
    Cargo
    Commercial Auto
    Commercial Trucking
    Cyber Liability
    Directors & Officers
    Employment Practices Liability
    Equipment Breakdown
    Equipment Floater / Inland Marine
    General Liability
    Liquor Liability
    Products Liability
    Professional Liability E&O
    Property
    Umbrella
    Workers Compensation
    • General Liability
    • Workers Comp
    • Commercial Auto
    • Commercial Trucking
    • Commercial Property
    • Professional Liability
    • Business Owners Policy (BOP)
    • Commercial Package
    • EPLI Insurance
    • Directors & Officers
    • Cyber Liability
    • Commercial Umbrella
    • Inland Marine
    • Liquor Liability
    • Product Liability
    • Disability Insurance
    • Errors and Omissions
    • Business Interruption Insurance
    • Builders Risk
    • Mechanical Breakdown
    • Cargo
    • Bonds
  • Personal

    Personal Insurance

    We offer insurance for individuals and families, including customized coverage, to fit your lifestyle.
    View All
    Auto + Home
    Boat
    Classic & Exotic Cars
    Condo
    Course of Construction
    Earthquake
    Equine
    Flood
    High Net Worth
    Jewelry
    Landlords
    Life
    Motorcycle
    Powersports
    Pets
    Property / Home
    Renters
    RV / Trailer
    Specialty Dwelling
    Umbrella
    Vehicles
    • Vehicles
    • Boat
    • Condo
    • Course of Construction
    • Equine
    • Flood
    • Earthquake
    • Life
    • High Net Worth
    • Homeowners
    • Landlords
    • Motorcycle
    • Pet
    • Powersports
    • Property
    • Umbrella
    • RV / Trailer
    • Renters
    • Specialty Dwelling
  • Industries

    Industries We Insure

    Our team serves all types of businesses across the country specializing in a variety of industries. Here’s some of the most popular types of businesses.
    View All
    Get Insurance QuoteGet Insurance Quote
    Arborists
    Car Dealerships
    Cleaning Business
    Consultants
    Contractors / Construction
    Dental Practices
    Doctors & Nurses
    Handyman
    IT /Technology
    Law Firms
    Maintenance Contractors
    Manufacturing
    Media & Advertising
    Medical Practices
    Retail Business
    Non Profits
    Real Estate Companies
    Tow Trucks
    Trade Contractors
    Trucking Fleets
    Veterinary Offices
    • Arborists
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    • Contractors
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    • Handyman
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    • Maintenance Contractors
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    • Pollution Quote
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    • Retail Business Insurance
    • Specialty Trade Contractors
    • Technology Insurance
  • Company

    Our Company

    About Us
    Our Team
    Account Review
    Latest Reviews
    Refer Friends & Family
    Blog

    Midwest Insurance Center

    944 U.S. Hwy 30
    Schererville, Indiana 46375
    Phone: 219-864-3333
    Fax: 219-864-9393
    Email: info@midwestic.com

    M-F 8:30am – 5pm CST

    Get DirectionsGet Directions
    • About Us
    • Our Team
    • Account Review
    • Latest Reviews
    • Refer Friends & Family
    • Blog
  • Contact
  • 219-864-3333We’re here to help
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Contractor Insurance Renewal

Insurance Renewal Questionnaire for Contractors

Contractor Insurance RenewalTimothy Dekker2024-06-12T16:40:59-04:00
Primary Insured's Name(Required)
No license required if not in California.
Any change(s) to your business from the previous year?

Business Information

Addresses

Type of Address Change(Required)
New Physical Address(Required)
New Mailing Address(Required)
Do you have a new additional business location?
Location 2: Address(Required)
Location 2: Need Business Personal Property?
Add a 3rd Location?
Location 3: Address(Required)
Location 3: Need Business Personal Property?
Add a 4th Location?
Location 4: Address(Required)
Location 4: Need Business Personal Property?

Gross Sales and Revenue

Employee Payroll

Subcontractors

Additional Insured(s) Information

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Max. file size: 1 MB.

    Wrapping Up

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      Consumer Disclosure(Required)
      By checking the box below you authorize the Agency who supplied this form to you to contact you via phone, email, and text messaging; to save and share with business partners the information you provided; to obtain consumer reports that may include credit-based reports (where legally allowed), public records, claims history, and driving records so that they can give you accurate insurance quotes. You also agree that the information submitted by you in this form is accurate and true to the best of your knowledge and ability.
      This field is for validation purposes and should be left unchanged.

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      Midwest Insurance Center

      944 U.S. Hwy 30
      Schererville, Indiana 46375
      Phone: 219-864-3333
      Fax: 219-864-9393
      Email: info@midwestic.com

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      Monday – Friday, 8:30am – 5pm CST

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