Commercial PropertyQuote Request Form Business Name Contact First Name Contact Last Name Contact Phone Contact Email When did the business take possession of the property? Address to be Insured City Province British Columbia Ontario Alberta Postal Code Does the business use this property as part of its daily operations? Yes No If not, what will its status be? Rented Vacant Seasonal Other Have you insured this property before? Yes No If so, list insurer and policy number here. Have you had any claims with this property? Yes No If so, please provide an explanation of claim(s). How many mortgages are on the property? If so, please list the mortgage company and amount. Year Built Number of Stories Square Footage Heating Type Electric Furnace Hot Water Oil Other Roof Material Wood Asphalt Metal Mix Other Majority Plumbing Material ABS Copper PEX Poly B Other Electrical Material Aluminum Copper Knob & Tube Mix Other Exterior Finish Wood Siding Vinyl Siding Shakes Stucco Cement Other Is ther a sump pump? Yes No Is there a basement, and if so, is it finished? Yes - finished Yes - unfinished No What is the re-build cost of the property? What amount of liability would you like? $1 M $2 M Would you like water damage coverage? Yes No Would you like earthquake coverage? Yes No What deductible would you like? $500 $1,000 $1,500 $2,000 $2,500 $5,000 Do you have a fire alarm, a Yes - monitored Yes - not monitored No Do you have a burglary alarm, a Yes - monitored Yes - not monitored No Does the business have a CGL in place? Yes No Do you have smoke alarms? Yes No If you have any additional comments, please let us know below. ›» SUBMIT