Builders Risk

Builder's Risk Quote Form

Fill in to get a Quote
Are you filling this out on behalf your client?*

YesNo
I am a(n)

Insurance BrokerReal Estate AgentLender / Mortgage BrokerOther
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Full Name*

First NameMiddle NameLast Name
E-mail*
Contact Number*

Area CodePhone Number
Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Type of Project
Is this also a good mailing address?*

YesNo
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Relationship*

Owner/ContractorOwnerContractor
Is Builder's Name different from the named insured?*

YesNo
Does the Builder/remodeler/GC have at least 2 years experience?*

YesNo
Number of structures/projects built/remodeled during the past 12 months?*

1-23-50Other
Number of structures/projects projected for the next 12 months?*

1-23-50Other
Has the builder/remodeler and/or structure had any single loss over $10,000 in the last 3 years?*

YesNo
Type of Project?*

ResidentialCommercial
Desired Term*

1 year6 months9 months
Year Built*
Square Footage INCLUDING Basement*
Construction Material*

Frame - exterior walls constructed of wood or other combustible materials such as brick veneer, stone veneer, wood and stucco on wood.Joisted Masonry - exterior walls constructed of masonry materials such as brick, concrete, block, stone or similar materials and the floors and roof are of wood construction.Non-Combustible - exterior walls, floors and roof constructed of metal, gypsum or other non-combustible materials.Masonry Non-Combustible - exterior walls, floors and roof constructed of masonry or fire resistive materials with fire resistance rating of not less than 1 hour.Fire Resistive - exterior walls, floors and roof constructed of masonry or fire resistive materials with a fire resistance rating of not less than 2 hours.
Number of Stories*
Intended Occupancy*
Will structure be occupied during construction?*

YesNo
Any previous losses at this location?*

YesNo
Is this a model home?*

YesNo
Estimated Start Date*

MonthDayYear
Date
Estimated Completion Date*

MonthDayYear
Date
Amount of Renovations/Improvements?*
Existing Building Amount*
Should be Empty:

Builder's Risk Quote Form