Commercial Property Quote

Please take a few moments and complete the following information.  All information provided is confidential and will be used solely for the purpose of developing your quote.

Street Address
Business Name (if any)
City and Zip
Phone Number
Alternate Telephone
Fax Number
Email Address
Property Information
Property Street Address
City and Zip
How many units are in the building?
How many units in the building are vacant?
Year Built
What is tenant occupancy of the building?
What date was the property purchased?
What is the construction type?
How many stories is it?
If two stories, what is the ground floor square footage?
What is the total square footage of the building?
What foundation type?
If structure is located in a flood zone, what is the distance to body of water?
Parking Description
What type of roof covering?
Was the roof updated?
If yes, what year?
Is there a smoke alarm?
Is there a fire extinguisher?
Are there deadbolts?
Is the electrical updated?
If so, when
Are there circuit breakers?
Does the electrical circuit box have copper wiring?
How old is the heating/ air conditioning?
Is the heating / air conditioning thermostatically controlled?
What is the energy source?
What is the heating system?
What is the cooling system?
Has the plumbing been updated?
If so, when
Is the plumbing copper?
Does the building have interior automatic fire sprinklers?
Is there a theft alarm?
Is there a fire alarm?
What is left, right and rear exposures and distances?
Current Coverage Information
Current Insurance Company
Expiration Date
Were there any losses or claims in the last 5 years?
If yes, what is the date, amount paid and description of each loss or claim?
Desired Coverage Information
Dwelling Amount - Coverage A
Premise Liability - Coverage E
Policy Deductible
Do you want building replacement cost coverage?
Best Time To Contact You
Please let us know the best time to call and discuss your quote.
Or Specify Other:

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