Information Request for Insurance Quote – Commercial Building

Full Name

Phone #

Email Address

Associations Business Name

Mailing Address

Property Address

Effective Date

Current Insured Value $

Year Built

# of stories

Deductible $

Square footage:

# of Units

Exterior Siding

% of Total Basement

% of Basement Finished

Is the building Fire-Sprinklered

Alarm System:

Business Property Amount: $

Year

Flat of Pitched

Type

Year

Does each unit have service panel:

Electrical Amperage #

Year

Type of Plumbing:

Copper

PVC

Galvanized

Year

Is it Gas Forced Air or Boiler system?

# of Units Currently Occupied

Are there any plans in the future to update the utilities? If so when?

Is there a garage?

Attached or Detached? # of Stalls

List tenants and type of operations in building: