Contractor Insurance Nevada | Construction Insurance | Commercial Insurance Las Vegas

10 MINUTE BUILDERS RISK QUOTE REQUEST
BUILDERS RISK POLICY
INFORMATION REQUIRED TO OBTAIN QUOTE

Your Email:
Owners Name:
Mailing Address of Owner:
City:
State:
Zip:

General Contractor Name:
Address:
City:
State:
Zip:

Project Address:
City:
State:
Zip:
County:

Intended Occupancy:
Type of Construction (frame/stucco, concrete block, etc.):
Square Feet:
# of Stories:

New Construction:	YES NO
Remodel	YES NO
Tenant Improvement	YES NO
Other:

Completed Value of Structure:
Flood Limit:
Flood Zone:
Earthquake Limit:
Soft Cost Coverage Requested	YES NO
Loss of Rents:
Loss of Profits:
Job Site Security Provided:

Start Date:
Anticipated Completion Date:

NOTE: If multiple buildings, please break out the above information by building.

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P.O. Box 80870 Las Vegas, NV 89180

702-220-8640 | 702-222-4740 Fax