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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
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
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Yes No
Additional Insured
Loss Payee
Mortgagee

Coverage Information

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

 

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About Us  |  Apply for Insurance
Request a Call  |  Pay My Bill
|  File a Claim


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