Recyclers Insurance Application

Competitively priced, providing a unique set of comprehensive features that can be customized to meet your needs.
We customized Insurance to meet your needs,
Providing coverage for:
Property casualty
Fleet Garage Liability
Commercial General Liability
Commercial Property
Commercial Inland Marine
Crime
Physical Damage
Umbrella

Recyclers Insurance Package

Recyclers Commercial Lines

Flexible Insurance Package to meet the needs of all types of Recycling Operations,

Recyclers Package

Glass Recyclers

Electronics Recyclers

Metal Recyclers

Wood Recyclers

Plastic Recyclers

Paper Recyclers

Textile Recyclers

Auto Parts Recyclers

Construction Materials Recyclers

Processing Recyclers

Dismantling Operations

Collection and Drop off

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416 388 8918

Recyclers Application

Recyclers Insurance Application

Personal Information Privacy and Electronic Document Act (PIPEDA) Consent

This form collects contact information so that we may correspond with you and provide the results of your quotation. It also collects underwriting information about your Business and claims history. This information is required by the insurance company to provide a rate for insurance coverage. It may be submitted to an insurance company for the single purpose of obtaining a quote. I give consent for the information provided in this form to be used by and its representatives.

PLEASE COMPLETE THE FORM FOR A QUICK QUOTE.

PLEASE MAKE SURE TO READ BELOW BEFORE COMPLETING THE FORM.

AFTER SUBMITTING YOUR FORM AND YOU RECEIVE THE MESSAGE One or more fields have an error. Please check THE FIELDS THAT ARE WRITTEN IN RED, COMPLETE THE MISSING INFORMATION ( IF NOTHING IS APPLICABLE ENTER NONE) and SUBMIT AGAIN. tHE FORM WILL ONLY BE SUBMITTING ONCE ALL FIELDS ARE COMPLETED. ONCE THE FORM HAS BEEN SUCCESSFULLY SUBMITTED YOU WILL SEE Thank you for your message. It has been sent.

-------------------------Recyclers Insurance Application ---------------- First and Last Name of Applicant (required) - Applicant registered business name - Full Postal Address (required) Mailing Address Applicant’s Web Site Address Your Phone # (required) Your Email (required) Applicant is: IndividualCorporationPartnershipJoint VentureLimited Liability Company FULL DESCRIPTION OF OPERATIONS: How long has applicant been in business? Years’ experience Annual gross receipts$ No. of Employees Projected tonnage for all recycling operations Do you have Commercial Auto coverage on all vehicles?YesNo If yes, limits of liability carried $: Indicate which of the following materials are collected by the applicant: Aluminum/Copper/Nickel/Scrap Metal/Tin/IronYesNo Bottles (glass/plastic)YesNo Batteries/Oil/AntifreezeYesNo Chemicals YesNo Clothing/Textiles/FurnitureYesNo Construction Materials(e.g. drywall) YesNo Debris (containing asbestos/lead)YesNo Electronics(Computers/Monitors/Televisions) YesNo GlassYesNo Green Composting YesNo Grease collectionYesNo Hospital / medical materials YesNo Fridge / freezersYesNo Oil collection (used)YesNo Paper/Cardboard(Bailed) YesNo PlasticsYesNo Power TransformersYesNo RagsYesNo Rubber recyclingYesNo If yes, please complete Rubber Supplemental Application. SolventsYesNo Vehicle fluidsYesNo Wood palletsYesNo Lead YesNo Does applicant collect any hazardous materials not identified above?YesNo If yes, explain Does applicant provide bins, dumpsters or trailers at customer sites for collection purposes?YesNo If yes, how many Subcontracted Operations: 9. Describe any operations subcontracted to others: 10. Are certificates of insurance required from sub-contractors?YesNo 11. Do subcontractors name applicant as an additional insured on their policy? YesNo Other Operations: 12. Does applicant engage in the following operations? Auto dismantlingYesNo Garbage or refuse haulersYesNo Iron or steel merchantsYesNo Junk yards or junk dealersYesNo Landfills or dumps YesNo Hauling for othersYesNo Remanufacturing/refurbishing of productsYesNo Salvage operationsYesNo Smelting/foundry operationsYesNo 13. Is there any processing of materials beyond pure collection and drop off? YesNo If yes, indicate below: GrindingYesNo DismantlingYesNo Disassembling/Stripping ChemicalsYesNo Hot Works/Processes (other than incidental welding/torch cutting)YesNo Other operations: please describe: Material Handling: 14. How is the recycled material received and handled? 15. Employees trained in hazardous waste identification? YesNo 16. Is there a formal response and control program in place for a hazardous substance leak or spill? YesNo 17. What is the procedure if radioactive material is received? Describe the radiation detection equipment used: Number of Employees trained in utilization: 18. Are sorting areas fenced and separated from areas accessible to the public? YesNo 19. Do you have any end products sold as new or used (including e-recycling products)? YesNo a) Do you provide warranties for these products? YesNo b) Describe these products, who sold to, and the end user: PROPERTY Full Address of property to be insured: 21. Are the premises in a good state of repair and is all plant and machinery in good order? YesNo 22. Are you the Sole Occupier or Tenant of the Buildings at the premises? YesNo If No, please provide full details of other occupants and their trades/business: Construction 23. # of Stories Year Built 24. Walls - HCBFrameMetal CladOther 25. Roof ConcreteSteel DeckWood JoistPatent UpdatesFullPartial Year Updated Your Message

AFTER SUBMITTING YOUR FORM AND YOU RECEIVE THE MESSAGE One or more fields have an error. Please check THE FIELDS THAT ARE WRITTEN IN RED, COMPLETE THE MISSING INFORMATION ( IF NOTHING IS APPLICABLE ENTER NONE)and SUBMIT AGAIN. tHE FORM WILL ONLY BE SUBMITTING ONCE ALL FIELDS ARE COMPLETED. ONCE THE FORM HAS BEEN SUCCESSFULLY SUBMITTED YOU WILL SEE Thank you for your message. It has been sent.