Carter & Company, L.L.P. 

 

 

 

(If not in Texas, please click here to view a list of states in which we currently have non-resident licenses.  If your state is not listed then we would not currently have a market for you.)

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Oil & Gas Contractors Quote
For the fastest and most accurate insurance quote, please provide as much information possible in the form below. This information will be kept confidential and will be used for quote purposes ONLY!
Named Insured: 
Address:
City:  State: Zip:
Phone Number:     Fax Number:  
Contact Name: 
Email Address: (Required)
*Social Security # or *FEIN
*Required by insurance companies in order to quote

Please Check Which Coverages You Would Like Us To Quote On:
Quote General Liability Coverage?: Yes     No 

Limits Required                      
General Aggregate:   
Each Occurrence:     

Excess or Umbrella Liability Limit:   $1,000,000       Other          

 
Control of Well/Operator's Extra Expense         
Equipment Physical Damage  
Workers' Compensation                                    
Professional (For Consultants, Engineers & Geologists)  
Other  

Please list present carrier(s) and your renewal/expiration date(s):

Annual Payroll for 1st Class:  (Select One)  
Specify Other Here:   Estimated Payroll $

Annual Payroll for 2nd Class:  (Select One)  
Specify Other Here:   Estimated Payroll $

Number of Years In Business: If new operations, outline principal's experience below:

Loss History - Past Five Years:

Describe Any Other Operations:
If "drilling, workover or service contractor", specify the following:
No. of rigs Type of Rigs
Maximum depth of drilling/workover Areas of operation
Oil/Gas still erection Yes No  If  Yes, specify

                                              Specialty Contractors
Installation or removal of casing Yes No Well Shooting Yes No
Swabbing Yes No Erection or dismantling of derricks Yes No
Acidizing Yes No Perforating of casing Yes No
Pipeline Construction Over 4" Diameter Yes No Well logging w/ radioactive materials Yes No
Fracturing Yes No Well logging w/o radioactive materials Yes No
Specialty tool operation Yes No Cementing Yes No

 

Thank you for your time in submitting this Oil & Gas Insurance quote form. One of our representatives will respond to your submission as soon as possible!
 

 

Send mail to info@cartercompany.com with questions or comments about this web site.