Window and Door Distributing and Installation

Underwriting Questionnaire

Client Name:

A.  If your company is in the business of supplying building materials, please answer the following questions:

1.  Do you sell exterior windows (including skylights) and/or exterior doors (excluding garage doors) for single-family homes and/or multi family homes such as condominiums, apartment houses or hotels? Yes No

If yes, is your company listed as an additional insured (via Vendor's Liability) on the General Liability insurance policy for the manufacturer(s) of all windows and doors you sell? Yes No

2.  Do you sell imported exterior windows (including skylights) and/or exterior doors? Yes No If yes – from what country(ies) are the exterior windows or exterior doors imported?

3.  Do you install exterior windows and/or exterior doors? Yes No If yes, do you use your own employees or subcontract the work? Own employees Subcontract

4.  If you subcontract the work, do you require that the subcontractor carry General Liability insurance?

Yes No

If yes,

a.  What limits do you require of all your subcontractors?

b.  Is your company listed as an additional insured? Yes No

c.  Do you require them to defend and hold you harmless? Yes No

5.  What dollar amount of sales and percentage of your total sales is attributable to the following?

a.  Sales of exterior windows (including skylights) and exterior doors (excluding garage doors):

$ %

b.  Imported exterior windows (including skylights) and exterior doors (excluding garage doors):

$ %_

c.  Installation of exterior windows (including skylights) and exterior doors (excluding garage doors):

$ %

d.  Sale of related material (cladding flashing, caulking) $ %

B.  Have you ever received a claim or lawsuit against your company alleging “construction defect” or products liability with respect to manufacturing, installation, distribution or sales of windows, doors or their components?

Yes No

If yes, please explain:

C.  Who are your five largest customers for windows, doors and their components? Please also identify if they are residential developers, window replacement companies or if they are property owners/developers/builders of condos or apartments.

1. 

2. 

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5. 

Signature Date