Builders Risk Quote | brrrrinsurance.com

Insured's Name *

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

Phone Number *

Contact Name *

Last Name *

Email Address *

FEIN/SSN

Is the builder's name different than the named insured? *YesNo

Builder's Name *

Does the builder have at least 2 years of experience? *YesNo

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

Number of structures projected during the next 12 months *

Has the builder had any losses during the last 3 years? *YesNo

Property State *

Property County *

Type of Project *NewRemodel, excluding existing structureRemodel, including coverage for existing structure

Type of Property *ResidentialCommercial

Policy Effective Date

Policy Period *6 Months9 Months1 Year

Property Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

What is the estimated completed value of all structures under construction within 100 feet? *

Protection ClassAsk them to call the fire department closest to the location and verify the ISO Fire Rating, 1-9

Year Structure was Built *

Number of Stories *

Intended Occupancy *

Will the structure be occupied during construction? *YesNo

Square Footage Including Basement *

Any previous losses at this location as a result of quake, floor, wind, fire, or vandalism? *YesNo

Which Cause? *

Has the project started? *YesNo

Start Date *

Percent Complete *

Will renovations begin within 60 days of the policy effective date? *YesNo

Expected Completion Date of Project *

Is there a sales contract on this structure? *YesNo

Scope of Work *Remodel - No structural changes, remodeling of interior finishes, exterior painting, replacement of interior fixtures, cabinets, flooring, etc.Remodel/Minor Structural - Remodel work included above and minor exterior changes like doors, windows, skylights, roof replacement, ground floor additions, and all non-structural HVAC, plumbing, electrical, etc.Restructuring - Repair, replace, remove load bearing walls, adding second stories, adding stairways or elevators, foundation work such as underpinning and dewatering

Description of Work to be Performed *

Dollar Figure for Renovation/Improvements *

Dollar Figure for Existing Structure *

Total Completed Value of All Covered Property *

Will the existing structure be insured by another policy during construction? *YesNo

What policy/policies? *

Does the building have an operable sprinkler system? *YesNo

Is the structure on a historical registry? *YesNo

Has the structure been moved? *YesNo

What date was the existing structure purchased? *

Brief Description of Existing Structure *

Interest Type *Another BuilderLoss PayeeMortgageePremium Finance Company

First Name *

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

Phone Number *

Fax Number *

Navigate Your BRRRR Journey with Ease

Explore Our Services

Learn More About Us

Resources & Support

Success!