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Building Owners » Commercial Liability

Building Owner's Quote Form for Commercial Liability Insurance

First and Last Name of Owner
Management Company Name
Contact Name
Mailing Address
Phone #
Fax #
E-mail address
Location Reference (“Lincoln Plaza”)
Location Address
Type of Tenant Occupancy
Type of Quote Requested
Year Built
Construction Type
Roof Type
Type of Parking
Is the Building Fully Sprinklered?
Number of Buildings
Number of Units
Number of Tenants
Total Square footage of each building
Approximate annual rents
Any losses in the past 4 years?
Current Insurance Carrier
Insurance Renewal Date
Is the current carrier offering renewal coverage?
If no, please explain
Total Property Limit Requested
Are there any pools?
   
Have there been any updates within the past 30 years?
Electrical
Plumbing
Roof
HVAC
   
Do you currently have EQ coverage?
   
 


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