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Gross Insurance Agency



More About Gross
Insurance Agency


Gross Insurance Agency,
has two offices located
in Ft. Thomas,KY and
Walton, KY, and has been
assisting Kentucky
residents and businesses
for over three decades.

We represent many of our
state's leading insurance
companies and provide the
service you deserve.

Remember, "every policy we sell comes with an agent!"
Call: 859-781-0434


Map & Directions to Our Main Ft. Thomas, KY Office
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On-Line Contractor
General Liability Quote Form
One Simple Form - takes only 2-3 Minutes!

Your Name:
BUSINESS Name:
Mailing Address:
City:
State: (Must be Kentucky)
Zip/Postal:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):
 
Business Underwriting Information
Type of operation:
Describe operations in detail:
License class:
License Number:
 
Limit of Liability
Coverage Requested?
$300,000
$500,000
$1 Million
 
Currently Insured? Yes No
Name of Carrier & how long insured?
Prior Claims? Yes No
Describe claims in detail:
 
Years in business:
Years experience in field:
Percentage of work residential:
Percentage of work commercial:
 
Number of Active Owners:
Number of Employees (full & part time):
Annual Employee Payroll: $
Annual Gross Sales: $
 
Do you subcontract work? Yes No
(If yes, what percentage of your work
is subbed, and what kind of work?)
Do you do foundation work? Yes No
Do you work on condos? Yes No
Employees paid over $18/hour? Yes No
Do you have a safety program? Yes No

 
Other Coverages You Would Like Information On: Tool & Equipment Floater Commercial Vehicle
Bonds, License/Performance
Workers Compensation
Builders Risk Insurance
 
Comments/Remarks:
 
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DISCLOSURE "In connection with this application for insurance, some carriers may review your credit report, or obtain or use a credit based insurance score based on the information contained in that report. We may use a third party in connection with development of your insurance score."

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FT. THOMAS OFFICE: Gross Insurance Agency, LLC | 26 N Ft. Thomas Avenue - PO Box 75249 | Ft. Thomas, KY 41075-0249
Phone: 1-859-781-0434 | Fax: 1-859-781-1780 | E-Mail us at: nicholas.rolf@gross-ins.com

WALTON OFFICE: Gross Insurance Agency, LLC | 24 N Main Street - PO Box 205 | Walton, KY 41094-7107
Phone: 1-859-485-7102 | Fax: 1-859-485-7107 | E-Mail us at: patty.prather@gross-ins.com

About Us | Privacy Notice | Service Request | KY Insurance License #600690


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