Builder's Risk & General Liability
This is a free quote with no obligations or strings attached. We will email you the quote, and strive for same day turnaround. Give us a call at (617) 352-6349 or email steve@surethinginsuranceco.com if you have any questions
Applicant name
*
First Name
Last Name
Applicant entity/LLC if applicable
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
APPLICANT'S mailing address (not the subject property address)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant date of birth
*
Address of SUBJECT PROPERTY
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If this is a multi unit, how many units are there?
Requested policy effective date
*
-
Month
-
Day
Year
Date
Period of insurance/Length of project
*
1 year
9 months
6 months
3 months
Other
Value of current existing structure
*
Value of work being performed
*
Estimated completed value
*
Number of levels/floors
*
1
2
3
4
5
Other
Have you filed any insurance claims on this property in the past 5 years? If so, write how many
*
Is this a new construction or a renovation?
*
Ground up construction
Renovation
If renovation, will the structure be partially occupied by tenants or businesses during the work?
*
Yes
No, it will be vacant
Are there any commercial storefronts or otherwise commercial components on the property?
*
Yes
No
Other
If yes or other, please explain the commercial components
Which best describes the property
*
Single family
Condo/condo conversion
Townhouse
Rowhouse
Apartment building
Commercial/mixed use
Nonprofit/church/government
Historic
Other
Complete descriptions of operations for the project for which you are currently applying for insurance (scope of work)
*
Description of Property Use Prior to Construction:
*
Is another builder's risk policy currently in effect for the subject property, or has one been in effect within the past 3 years?
*
Yes
No
How many years of experience do you have as a builder?
*
Do you need Builder's Risk and General Liability for your personal residence, or is this for a business endeavors?
*
Personal
Business
Do you have any of the following? Check all that apply
*
Automatic sprinkler system
Automatic fire alarm
Security service
Burglary system (connected central station)
Burglary system (not connected to central station)
Fenced in job site
Exterior lighting
None
How long have you owned the property?
*
Has the construction work already begun?
*
Yes
No
Is the construction any of the following: adding square footage; adding additional structure/s; modular manufactured, or mobile homes?
*
Yes
No
Is the construction any of the following: adding additional stories; being raised / elevated / lifted; dome homes; unique, green or experimental; or any other non-conventional building?
*
Yes
No
Does the construction work involve any of the following: demolition or underpinning of an existing building or structure, lead, asbestos or other pollutant abatement?
*
Yes
No
Are you acting as a contractor?
*
Yes
No
Is there a signed contract in place yet between contractor(s) and homeowner?
*
Yes
No
Are all contractors licensed and insured
*
Yes
No
Are all relevant permits in place?
*
Yes
No
Heating source
*
Gas
Electric
Oil
Other
Do you have a mortgage on this property?
*
Yes
No
If you have a mortgage, please list the institution(s) it is with
Have you ever been cancelled or non-renewed by an insurance carrier?
*
Yes
No
Is there anything else relevant you would like to tell us?
Submit
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