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Builders Risk Remodeling Application


General Information


Property Information

Yes No
Yes No

Project Information

Owner Contractor Owner/Contractor
Yes No
Yes No
Yes No
Poor Condition - Uninhabitable, siding/shingles missing, dilapidated, overgrown landscaping, fire damaged, flooded, vandalized or stripped of copper. Major repairs needed.
Fair Condition - Lacks maintenance and/or minor repairs are needed to bring into average condition.
Good Condition - Well maintained and little/no evidence of deferred maintenance. Minimal repairs can be quickly and affordably resolved and are only cosmetic in nature.
Yes No
Yes No
Owner Tenant Other

Coverage Information

Yes No
Yes No
$100,000 $300,000 $500,000 $1,000,000
Yes No
Yes No
Yes No
Excellent Very Good Good Fair Poor
Yes No
Yes No
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