General Liability *Full name Name of business *FEIN# or EIN# *Street address apt number *City *ZIP *E-mail *Phone number *What is your occupation? (flooring, lawn care, pool care, cleaning)? *Do you have employees in a W-2? YesNo Yearly payment made to employees *Do you use subcontractors? YesNo Yearly payment made to subcontractors? *What is the business' annual gross income? Any other relevant information that was not mentioned above?
