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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
Solar panels on roof
Solar panels installed on ground
Solar farm
Yes No
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
Yes No
Yes No
Additional Insured
Loss Payee
Mortgagee

Coverage Information

Yes No
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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