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Address of building to be insured:
Any interior fire sprinklers?
Yes, throughout the entire building (incl. any basement)
Only the basement
No sprinklers
Your email address:
Annual gross rental income derived from building?
Interior roof joists:
Frame
Steel
Heavy timber
Mixture of frame and steel
Year plumbing replaced ?
How long have you owned this building:
Interior Walls:
Wood frame
Steel Stud
Concrete
When was the heating updated/replaced?
Roof Pitch:
Low
Flat
Medium
High
Interior Ceiling:
Drywall/paint
Wood panel
Suspended acoustical
Tile
Vinyl
Building Construction:
a. Frame - exterior walls are wood, brick or stone veneer with framing between floors.
b. Joisted masonry non combustible - concrete block , reinforced masonry load bearing exterior walls.
c. Masonry non combustible - exterior walls, floors and roof constructed of and supported by metal or other non-combustible material.
d. Modified Fire Resistive - Overall construction of fire resistive materials with fire rating less than 2 hours but greater than 1 hour.
e. Fire Resistive - Fire rating not less than 2 hours for walls, floors, and roofs.
Floor Finish is mostly:
Tile
Hardwood
Linoleum
Carpet
Polished concrete
Marble
Slate
Other
Interior Wall Finish
Drywall/paint
Wood Panel
Acoustic Tile
Cooling:
Roof top unit
Heat Pump
Unit AC air cooled
Unit AC water cooled
None
Please submit photo of the building:
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Roof:
Asphalt shingles
Tar & Gravel
Torch on
Wood shake
Rubber membrane
Steel
Clay Tile
Concrete Tile
Type of plumbing:
Copper
Pex / Plastic
Cast Iron
Poly B
ABS
No. of stories above ground?
Legal name of building owner:
Have you had any insurance claims in the last 5 years?
Your mailing address:
Fire Alarm:
Yes, manual pull
Yes , automatic monitored
No
Type of electrical:
100 amp copper circuit breakers
200 amp copper circuit breakers
Knob and Tube
Aluminum wiring
Three Phase power
No. of kitchens:
Heating:
Roof top unit
Electric baseboard
Forced warm air ( gas)
Hot water baseboard with boiler
Suspended forced air
Radiant in floor heating with boiler
Building does not have a boiler
Other
Any elevator(s)? If so, describe if passenger or freight and indicate how many elevator(s):
Gross floor area ? sq feet of all floors NOT including basement below ground:
Building Replacement Cost Valuation
Exterior walls:
Solid Brick
Solid Block
Brick veneer
Block veneer
Siding
Stucco
Height of each storey ? 8ft , 9ft , 10ft ....?
Year roof replaced?
Year electrical updated/replaced ?
No. of bathrooms (both full or half ):
Does the building have a basement below ground? If yes, please indicate what the basement is being used for and the total square footage of the basement?
Year building built?
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