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Builders Risk Insurance

Please provide your basic business information to get the quoting process started. Allowing us to identify the proper insurance solutions for your industry.

Business Info

Company Name *

Location's Street Address *

Locations City *

Locations State *

Locations Zip Code *

Business Operations

New Construction Covered Property (Building, Equipment and Supplies) *

Renovation/Remodel Property (Building, Equipment and Supplies) *

Inspection Contact Name: *

Inspection Contact Email: *

Business Operations Cont.

Is applicant a general contractor? *

If applicant is not a general contractor then:

Advise name of general contractor for construction project

Advise experience of general contractor

Advise website of general contractor

Property Details

Number of Stories *

Age of Building *

Total Square Footage of Building *

If Other Building Construction, Please Describe.

Building's intended usage at completion? *

Property Details Cont.

Beginning Date of Construction (MM/DD/YYYY) *

End Date of Construction (MM/DD/YYYY) *

Has any construstion/renovation/remodel operations already started? *

Will any portion of the structure be occupied prior to completion of the project? *

If yes, advise details

Protection Of Property

Is there security lighting at the job site? *

Does security lighting illuminate all sides of the site? *

Is the job site perimeter completely fenced with gates that close and lock during non-working hours? *

If yes, height of fencing:

What is the distance in feet to the nearest fire hydrant? *

What is the distance in Miles to the nearest responding fire department? *

Renovation / Remodeling Info

Structural or Non-Structural? *

Any hot work (i.e., cutting, torch work, welding, bracing, soldering, grinding, thermal spraying and sweating of pipes)? *

Any electrical work? *

Is the interior of the project one hundred percent (100%) deadbolt-locked? *

Is there an operating central station burglar alarm? *

Are recognized approved fire extinguishers on premises? *

Are the standpipes operational and filled with water? *

Is the structure sprinklered? *

If yes, is the system turned on? *

Contact Information

First Name *

Last Name *

Email *

Phone *

Mailing Address Information

Street Address *

City *

State *

Postal code *

Insurance Unlimited, LLC

(954) 634-7283

1500 Weston Road, Suite 200

Weston, FL 33326

info@InsuranceUnlimitedLLC.com

Home-Condo-Renters / Auto-Motorcycle-RV / Boat & Personal Watercraft / Business /Health/Life

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