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Safeshield - Mr. Electric of Fairfield County Insurance Intake
Complete the form below so we can shop 73+ carriers for the right coverage at the best price.
★★★★★
"Austin got us our GL, workers comp, and commercial auto placed in one week. Nobody else came close."
— Tony M., Electrical — Stamford CT
★★★★★
"Eric got our COI to the GC in 20 minutes. We've never had an agency turn certs around that fast."
— Danny R., Plumbing — Norwalk CT
★★★★★
"Switched our whole construction book. Austin found better coverage and saved us $14K annually."
— Marco S., General Contractor — Bridgeport CT
★★★★★
"Justin helped us get a last-minute COI for a job in Manhattan. Friday at 4pm. Had it before 5."
— Chris P., HVAC — Bronx NY
★★★★★
"We're a landscaping company with 12 trucks. Austin understood our exposures — inland marine, hired/non-owned, all of it."
— Ray L., Landscaping — Greenwich CT
★★★★★
"After 15 years with State Farm I finally switched. Better coverage for less money in one phone call."
— Kevin O., Homeowner — Stamford CT
★★★★★
"They set up our entire commercial package and had certs to our three biggest clients within 24 hours."
— Sam K., Roofing — Danbury CT
★★★★★
"Eric rewrote our workers comp and saved us $8K. First agent who ever explained class codes straight."
— Pete D., Masonry — Waterbury CT
★★★★★
"Austin got us our GL, workers comp, and commercial auto placed in one week. Nobody else came close."
— Tony M., Electrical — Stamford CT
★★★★★
"Eric got our COI to the GC in 20 minutes. We've never had an agency turn certs around that fast."
— Danny R., Plumbing — Norwalk CT
★★★★★
"Switched our whole construction book. Austin found better coverage and saved us $14K annually."
— Marco S., General Contractor — Bridgeport CT
★★★★★
"Justin helped us get a last-minute COI for a job in Manhattan. Friday at 4pm. Had it before 5."
— Chris P., HVAC — Bronx NY
★★★★★
"We're a landscaping company with 12 trucks. Austin understood our exposures — inland marine, hired/non-owned, all of it."
— Ray L., Landscaping — Greenwich CT
★★★★★
"After 15 years with State Farm I finally switched. Better coverage for less money in one phone call."
— Kevin O., Homeowner — Stamford CT
★★★★★
"They set up our entire commercial package and had certs to our three biggest clients within 24 hours."
— Sam K., Roofing — Danbury CT
★★★★★
"Eric rewrote our workers comp and saved us $8K. First agent who ever explained class codes straight."
— Pete D., Masonry — Waterbury CT
📷
Skip the typing — snap a photo of your driver's license
We'll fill in your name, address, date of birth and license number wherever this form asks for them. You can still edit anything.
Drag & drop or click to upload a photo of your driver's license
How this works
Part 1 gets your general liability policy issued right away so the Norwalk lease is satisfied. Part 2 collects everything for the full program (workers comp, auto, property, umbrella) so we can turn it on the moment you're ready to open in October. We prefilled what we covered on the phone; fix anything that's off.
Part 1: Get the general liability policy issued now
Your contact info
First name *
Last name *
Email *
Cell phone *
The LLC
The policy goes in the LLC's name with Mr. Electric of Fairfield County as the DBA, since the lease and the franchise both run through the same entity.
Legal name of the LLC (exactly as on the lease) *
Doing business as *
EIN *
State and date the LLC was formed *
Mailing address for the policy (if different from the office)
Start typing and pick your address from the list — city, state and ZIP fill in for you.
City
State
ZIP
Owners / members, ownership %, and whether each one will be hands-on in the business *
The Norwalk office / flex space
This is what the landlord needs a certificate for.
Office address *
Start typing and pick your address from the list — city, state and ZIP fill in for you.
City *
State *
ZIP *
Lease start date (this is the date we need coverage in force) *
Lease term *
Square footage *
How will the space be used? *
Landlord / property owner legal name and address (exactly as it should appear on the certificate) *
Liability limits the lease requires *
Does the lease insurance section mention any of these?
Upload the lease (PDF)
📄
Drop in anything that helps
Drag & drop multiple files or click to browse. CASEY reads supported documents and keeps every original for review.
Operations for the general liability policy
We rate this as an electrical contractor at $0 revenue for now and raise it when you open. Carriers still ask these questions up front.
Where are you today? *
Target opening date *
Expected work mix once open *
Projected revenue in your first 12 months open ($) *
Services you plan to offer *
Electrical license status *
CT contractor license number (if you have it)
Will you use subcontractors? *
Any prior business insurance or claims for this LLC? *
Part 2: The full program for opening day
Mr. Electric franchise requirements
Franchise territory *
Date franchise agreement was signed
Insurance requirements from the franchise agreement (Item 8 of the FDD or the insurance exhibit). Paste them if you have them.
Upload the franchise agreement insurance section or requirements sheet
📄
Drop in anything that helps
Drag & drop multiple files or click to browse. CASEY reads supported documents and keeps every original for review.
Are you also getting a quote through the Gallagher franchise program?
Date Mr. Electric needs your certificate by (if they gave you one)
Workers compensation
Required in Connecticut as soon as you have your first employee.
Employees expected in year one (including owners) *
Expected date of first hire
Projected annual payroll ($) *
Rough payroll split
Should owners be covered under workers comp?
Commercial auto
Even before the vans arrive, hired and non-owned auto covers employees driving their own cars for the business.
Service vehicles planned for opening *
When do you expect to have the first van?
Vehicle details if you have them (year, make, model, VIN, owned or leased, lienholder, who drives)
Drivers: full name, date of birth, license number and state, years licensed
Property, tools, and equipment
Rough value of office contents, furniture, and computers ($)
Rough value of tools and equipment that leave the office ($)
Any build-out or improvements you're paying for in the space ($)
Materials / inventory on hand at any time ($)
Everything else
Coverages to include in the full program *
Umbrella limit, if the lease or franchise requires one
Does Mr. Electric or the town require a contractor license bond?
Anything else we should know?
Your information is secure and will only be used to provide an insurance quote.
★★★★★
"I run 22 trucks across the tristate. Austin consolidated everything under one policy and the premium dropped."
— Jorge V., Trucking — Queens NY
★★★★★
"Austin saved me $700/year on auto and got better home coverage for half the price."
— Michelle T., Homeowner — Cos Cob CT
★★★★★
"Justin put together a life insurance plan that actually made sense. No pressure, just options."
— Brian W., Business Owner — Westport CT
★★★★★
"Their tech is unreal. All my policies, renewals, and certs in one dashboard. No other agency has this."
— Alex F., Property Manager — Manhattan NY
★★★★★
"We needed builder's risk same day for a closing. Eric made it happen. No drama, no excuses."
— Nick G., Developer — Stamford CT
★★★★★
"10 rental properties insured through Safeshield. Re-shopped every one and found savings on 8."
— Linda C., Real Estate — Norwalk CT
★★★★★
"They monitor our renewals 60 days out. Got a call saying they saved us $2K before renewal even hit."
— Steve H., Restaurant — Fairfield CT
★★★★★
"Eric walked us through our umbrella options like a teacher. Patient and genuinely cared."
— Diane M., Homeowner — New Canaan CT
★★★★★
"I run 22 trucks across the tristate. Austin consolidated everything under one policy and the premium dropped."
— Jorge V., Trucking — Queens NY
★★★★★
"Austin saved me $700/year on auto and got better home coverage for half the price."
— Michelle T., Homeowner — Cos Cob CT
★★★★★
"Justin put together a life insurance plan that actually made sense. No pressure, just options."
— Brian W., Business Owner — Westport CT
★★★★★
"Their tech is unreal. All my policies, renewals, and certs in one dashboard. No other agency has this."
— Alex F., Property Manager — Manhattan NY
★★★★★
"We needed builder's risk same day for a closing. Eric made it happen. No drama, no excuses."
— Nick G., Developer — Stamford CT
★★★★★
"10 rental properties insured through Safeshield. Re-shopped every one and found savings on 8."
— Linda C., Real Estate — Norwalk CT
★★★★★
"They monitor our renewals 60 days out. Got a call saying they saved us $2K before renewal even hit."
— Steve H., Restaurant — Fairfield CT
★★★★★
"Eric walked us through our umbrella options like a teacher. Patient and genuinely cared."
— Diane M., Homeowner — New Canaan CT
★★★★★
"COI to the GC in under 15 minutes. Every. Single. Time. Worth switching for if you're in the trades."
— Vinny A., Painting — Brooklyn NY
★★★★★
"Austin found gaps in my coverage I had no idea existed. For a high-value home, that matters."
— Robert K., Homeowner — Greenwich CT
★★★★★
"Old agent took 3 days for a certificate. Safeshield does it in minutes. Speed is money."
— Carlos R., Concrete — Yonkers NY
★★★★★
"Justin set me up with term life and disability. Sole proprietor — family needs to be covered."
— Mike T., Electrician — Trumbull CT
★★★★★
"Moved my restaurant's commercial package and liquor liability. Better coverage, lower premium."
— Anna P., Restaurant — Stamford CT
★★★★★
"He made me feel like a human being, not a policy number. All 4 of my businesses are here now."
— David N., Multi-Business — White Plains NY
★★★★★
"They shopped 73 carriers for our commercial property. We would've overpaid by $6K if we'd just renewed."
— Frank J., Property Mgmt — Bridgeport CT
★★★★★
"Eric handles our entire book. Whenever I need something, I text him and it's done. That simple."
— Sophia L., Client — Darien CT
★★★★★
"COI to the GC in under 15 minutes. Every. Single. Time. Worth switching for if you're in the trades."
— Vinny A., Painting — Brooklyn NY
★★★★★
"Austin found gaps in my coverage I had no idea existed. For a high-value home, that matters."
— Robert K., Homeowner — Greenwich CT
★★★★★
"Old agent took 3 days for a certificate. Safeshield does it in minutes. Speed is money."
— Carlos R., Concrete — Yonkers NY
★★★★★
"Justin set me up with term life and disability. Sole proprietor — family needs to be covered."
— Mike T., Electrician — Trumbull CT
★★★★★
"Moved my restaurant's commercial package and liquor liability. Better coverage, lower premium."
— Anna P., Restaurant — Stamford CT
★★★★★
"He made me feel like a human being, not a policy number. All 4 of my businesses are here now."
— David N., Multi-Business — White Plains NY
★★★★★
"They shopped 73 carriers for our commercial property. We would've overpaid by $6K if we'd just renewed."
— Frank J., Property Mgmt — Bridgeport CT
★★★★★
"Eric handles our entire book. Whenever I need something, I text him and it's done. That simple."
— Sophia L., Client — Darien CT
SAFESHIELD INSURANCE We Work For You. Not The Insurance Company.
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