Property Insurance – Building and/or Contents Quote Please complete the following information in order to obtain a quote for building and/or contents of your building. Named Insured* Contact Name* First Last Email* Phone* Legal Entity Type* Sole Proprietorship Partnership LLC Corporation I would like a quote for the following* Building AND Contents Building Only Contents Only How many buildings are you wishing to insure?* OneTwoThreeFour If you wish to insure more than one building, please submit an application for each building. You will receive one quote based on the information received from all applications. Building Information If requesting a quote for Contents Only, we will still need the building information where the contents is located. Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Status* Own Rent Home Office Building Occupied Primarily As:* ex: office, warehouse, manufacturing, etc. * Year Built Sq. ft. area Sprinklered?* Yes No Inside City Limits* Yes No Number of Stories* Building Improvements Wiring- Year Updated Plumbing- Year Updated Heating- Year Updated Roof- Year Updated Roof Type Building - Type of Construction * Frame (wood wall supports and roof supports) Joisted Masonry (concrete/block wall supports and wood roof supports) Non-Combustible (metal wall supports and roof support) Masonry Non-Combustible (concrete wall supports and metal roof supports) Fire Resistive (concrete wall supports and concrete roof supports) Amount of Insurance Needed ($) For 100% Replacement (Brand New): Building:* Furniture/ Equipment/ Contents:* Computer Hardware/ Software:* Tenants Improvements & Betterments:* Inventory:* Raw Stock:* Other - Describe Other Replacement Cost:*