Name
Contact Information
Named Insured:
Mailing Address:
Phone number:
Owners Name:
Name of the contactor and their years in business/experience:
Year business started:
Construction start date:
Construction completion date:
Building and loan value:
Primary use of completed building:
Property address:
Building square footage:
Building replacement cost
Sales or leased document
Construction type (frame, joisted masonry, metal/non-combustible)
If building renovation, is structural work being done?:
Age of the building:
If over 50 years, confirm dates of updates to electrical:
Plumbing:
HVAC:
Roof: