Serving CT, NY, NJ, PA, DE☎ (203) 204-2555 | info@gosafeshield.com
SAFESHIELD INSURANCE
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300+ Five-Star Reviews73+ Carriers We Shop★ Licensed in 5 States🔒 Secure & Encrypted
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Safeshield - Roofing Contractor 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 $8K. First agent who ever explained class codes straight."
— Pete D., Masonry — Waterbury CT
Business Information
Tell us about your roofing business
Legal Business Name *
DBA (if different)
Business Entity Type *
CT HIC License Number
Business Address *
Business Phone *
Business Email *
Years in Business *
Ownership Information
All owners with 20%+ ownership must be listed for underwriting
Owner 1 — Full Name *
Owner 1 — Title
Owner 1 — Ownership % *
Owner 1 — Include on Workers' Comp? *
Owner 2 — Full Name *
Owner 2 — Title
Owner 2 — Ownership % *
Owner 2 — Include on Workers' Comp? *
Owner 3 — Full Name
Owner 3 — Title
Owner 3 — Ownership %
Owner 3 — Include on Workers' Comp?
Operations & Revenue
Carriers need a full picture of your workforce — especially subcontractors
Projected Annual Gross Revenue ($) *
Total W2 Payroll (excl. owners) ($) *
Number of W2 Employees *
Do you use subcontractors? *
Annual Cost Paid to Subcontractors ($) *
Approx. % of Work Subbed Out *
Do you require subs to carry their own GL insurance? *
Do you require subs to carry Workers' Comp? *
Do you have written subcontractor agreements? *
Are you listed as additional insured on sub policies? *
Scope of Work
Be specific — carriers rate heavily on the type and scale of work performed
Types of Roofing Work Performed *
% of Work — Residential *
% of Work — Commercial *
% of Work — New Construction
Max Building Height You Work On *
States You Work In *
Fleet & Vehicles
List every vehicle used for business — owned, leased, or regularly used by employees
Vehicles
Coverage Needs
Check everything that applies — we'll shop all of it
Coverage Types Needed *
Current Insurance Carrier(s)
Current Annual Premium ($)
Policy Renewal / Desired Effective Date
GL Limit Needed
Current Policy Documents
Upload your current dec page and we'll pull everything automatically
Upload Current Declarations Page (Optional)
📄
Upload your current declarations page
Drag & drop or click to browse. PDF, JPG, PNG accepted.
Claims History
Carriers will ask — be upfront and we can position it correctly
Any GL or WC claims in the last 5 years? *
If yes, describe each claim
Additional Information
When Do You Need Coverage? *
How Did You Hear About Us?
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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