Building Insurance Quote

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16%

Building & Real Estate Insurance Quote

Insurance for a building can be complicated, out simple form allows us to rate your coverage request simply and easily to assist you in obtaining insurance for your real estate investment.

Name(Required)

First Last

Your entity is(Required)

Full Legal Business Name(Required)

Do you use any DBA?(Required)

Yes

What DBAs do you use?

Email(Required)

Phone Number(Required)

Alt Phone Number (cell, home)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Website, if any

Date Business Started(Required)

MM slash DD slash YYYY

Property Information

Does the location of the property differ from your mailing address?(Required)

Yes

Property Address(Required)

If the location address differs from your mailing address, enter the location address below.

Street Address Address Line 2 City State ZIP Code

Please provide a brief description of the building and what it is used for.(Required)

Year Built(Required)

Date Purchased (or will be purchased)(Required)

Please be as accurate as possible for now

MM slash DD slash YYYY

Number of stories(Required)

Total square feet of interior space(Required)

Number of residential units

Residential square footage

Number of commercial units

Commercial square footage

Does the building have a basement?(Required)

Yes

Square footage of basement(Required)

Is Basement Occupied(Required)

Yes

Are there 2 means of basement egress(Required)

Yes

Number of elevators(Required)

Enter "0" if none

Is there a Fire Escape(Required)

Yes

Stairwells Inside or Outside Building(Required)

None

Inside - Open

Inside - Closed

Outside

Both - Inside & Outside

Approximately what % of the building is occupied?(Required)

Please enter a number from 0 to 100.

Parking / Garage(Required)

Do You Operate the Garage(Required)

Yes

Approximate Number of parking spaces?(Required)

Foundation Type(Required)

Construction(Required)

Exterior Covering(Required)

Roof Type(Required)

Occupancy(Required)

Mixed Use - Commercial & Residential

Commercial Retail Space

Apartment Rental Building

Commercial Office Space

Coop Bld

Commercial Industrial Space

Condo Bld

Heat Source(Required)

Coal

Gas

Oil - Underground Tank

Oil - Above ground Tank

Oil - Basement Tank

Solar

Wood Burning

Building Updates

This is VERY important! If no updates, enter the year of construction

Roofing Updates(Required)

Partial

Complete

None

If updated, what year?(Required)

Electrical System Updates(Required)

Partial

Complete

None

If updated, what year?(Required)

Heating System Updates(Required)

Partial

Complete

None

If updated, what year?(Required)

Plumbing System Updates(Required)

Partial

Complete

None

If updated, what year?(Required)

Circuit protection(Required)

Circuit Breakers

Fuses

Both

Protective Devices, Safety & Security

Distance to Fire Hydrant(Required)

< 200 feet

200 - 500 feet

500 - 2500 feet

2500 feet - 1 mile

over 1 mile

Distance to Fire Station(Required)

< 2 mile

2 - 5 miles

over 5 miles

Is there Emergency Lighting(Required)

None

Battery Powered

Hard Wired

Battery Powered & Hard Wired

What percent of the building has sprinklers?(Required)

0 %

0-25%

25-50%

50-75%

75-100%

Are Exit Signs Illuminated?(Required)

Burglar Alarm(Required)

None

Local Alarm System

Central Station Monitored Alarm

Fire Alarm(Required)

None

Local Alarm System

Central Station Monitored Alarm

Smoke Alarm(Required)

None

Local Alarm System

Central Station Monitored Alarm

Tenperature Alarm(Required)

None

Local Alarm System

Central Station Monitored Alarm

Security Camera(Required)

None

Local Data Storage

Remote or Cloud Data Storage

Pool Information(Required)

Fences apply to the pool, not the yard.

Does the pool have a slide(Required)

Yes

Does the pool have a diving board(Required)

Yes

Lifeguard on duty at all times the pool is open?(Required)

Yes

Loss / Claim Information

Any claims in the last 5 years(Required)

Yes

Claim Details

If you have had any claims in the last 5 years, please provide the date, the cause of the loss, and the amount paid out for each one.

Current Insurance Information

Are you currently or previously insured(Required)

Yes

I was, but it cancelled

Current/Prior Insurer (if any)(Required)

Please enter your INSURANCE COMPANY, not your broker or agent.

Current/Prior insurance expiration date(Required)

MM slash DD slash YYYY

Current annual insurance premium(Required)

Enter your best approximation of the ANNUAL premium if you are not sure

General Liability

Premises Liability Coverage(Required)

This provides coverage for bodily injury and property damage

$100,000

$200,000

$300,000

$500,000

$1,000,000

$2,000,000

Umbrella/Excess Liability Coverage

Building, Property & Business Income Coverage

Do you rent any part of the building to others?

Yes - part of it

Yes - all of it

What is your total MONTHLY rental income?(Required)

Building Coverage(Required)

Only select this if you own the building or are required to insure it.

Please enter a number from 0 to 100000000.

Building Improvements(Required)

This provides coverage for improvements or betterments you have made to the space. (renovations) enter 0 (zero) if none

Please enter a number from 0 to 10000000.

Business Property(Required)

This provides coverage for your possessions you own - inside the building. (desks, chairs, tables, books...) enter 0 (zero) if none

Please enter a number from 0 to 10000000.

Business Income(Required)

This provides monetary coverage in the event your business is closed because of a covered loss (fire, storm, smoke damage) enter 0 (zero) if none

Please enter a number from 0 to 10000000.

Are there any additional structures on the property you need coverage for?

Yes

What are the additional structures and their values?(Required)

This would apply to pools, gazebos, storage units, parking structures, playgrounds, guard gates, club houses...

Structure Type

Value

Property Deductible Requested(Required)

$250

$500

$1,000

$2,500

$5,000

$10,000

Finance Information

Ever filed Bankruptcy or Reorganization(Required)

Yes

Has coverage been Declined, canceled or non-renewed in last 5 years

Yes

If so, why?(Required)

Final Details

How soon do you need this quote(Required)

Date quote needed by(Required)

MM slash DD slash YYYY

What date do you need this coverage by?(Required)

MM slash DD slash YYYY

How did you hear about us?

If you were referred, who can we thank with a nice gift?

What other coverages are you interested in?(Required)

None

Workers Comp

Disability

Group Health

Employment Practices Liability

Directors & Officers

Attachments

Please feel free to attach any files that might be useful in rating your coverages... Prior or current policies, loss runs, claims, photos of puppies, pictures your kids drew in kindergarten...

Drop files here or

Accepted file types: jpg, gif, png, pdf, tif, Max. file size: 12 MB, Max. files: 10.

Other things I want to tell you that you didn't ask. Additional comments, concerns, circumstances, or coverages you have/want.

Comments

This field is for validation purposes and should be left unchanged.