• Page Insurance, Ltd
    102 Boston Street
    Guilford, CT 06437
    (203) 453-5258
    info@pageins.com
  • Type of Entity
  • Format: (000) 000-0000.
  • Effective / Closing Date*
     - -
  • Policy Term*
  • Any Claims in past (5) years?*
  • Rows
  • General Liability Coverage Limits*
  • Building within 1,000 feet of hydrant?*
  • Building within 3 miles of fire station?*
  • Construction*

  • Type*
  • Type*
  • Type*
  • Type*
  • Are utilities operational water and/or electric?*
  • Physical Condition of Building*
  • How is building Secured (check all that are applicable)*
  • Are renovations going to take place?*
  • Who will be doing renovations?
  • Does Contractor have General Liability Coverage in force?
  • Will Named Insured secure Certificates of Insurance?
  • Is there a pool on premises?*
  • If yes:
  • Is the pool fenced?
  • What do you plan to do with the property?*
  • Browse Files
    Cancelof
  • Submitted by*

  • Date
     - -
  • Should be Empty: