Builders Risk Insurance

Davis Insurance & Associates is dedicated to meeting the property insurance needs of Builder’s in the construction industry. From custom home builders to commercial contractors, we have a course of Builder’s Risk Insurance solutions that can provide the unique coverage builders need. Davis Insurance & Associates offers superior builders risk insurance coverage. For residential and commercial construction jobs, both new construction and remodeling projects, We’ve Got You Covered!

Builders Risk Questionnaire for Residential & Commercial Builders.

Builders Risk Insurance

Insurance for Residential, & Commercial Builders.

Name*
First Last
Enter Legal Name of Owners
Name*
First Last
Enter Legal Name of General Contractor
Email

Email Address of person requesting quote.
Phone/Cell Number*
Enter Contact Phone Number.
FAX Number
Enter Contact Fax Number.
Project Name*

Name of Project or Job.
Project or Job Site Address*
Street Address Address Line 2 City State ZIP Code

Enter the Legal Address of Project or Job Site.
Fire Protection Classification of Project, or Job Site*
- Protected
- Unprotected
Protected-means-project or job site within 3 miles of a responding fire department, & 500 ft. of a working fire hydrant. Unprotected-means-project or job site which do not conform to the above "Protected" definition.
Total Insured Value*
Estimated Completed Contract Price.
Deductible Desired*
- $1,000
- $2,500
- $5,000
- Other
Enter the Deductible you desire.
Contract Effective Date*

Date You Want The Insurance To Start.
Mortgagee Name/Address
Street Address Address Line 2 City State ZIP Code

Name/Address of Person, Bank, or Financial Institution Providing Financing for Project, or Job.
Project Details*
(#Storyes) (Sq. Ft. of Area) (Type Foundation) (Construction Material) (Heating Type) (Demolition Type) (Inside City Limits) (Distance/Fire Hydrant) (Distance/Fire Station)

Answer questions to describe the property details.

Hazard/Exposure

(Nearest Body of Water)	(Flood History at Site)	(Height of project above nearest body of water)	(What is being done to prevent run-off damage)	(Adjacent Structures (Construction, Occupancy, & Distance)

Enter answers to Hazard & Additional Exposure of Project or Job.

Security
- Site Fenced
- Patrol Service
- Video Surveillance
- Lightning
- Other
- None
Enter what type of security is provided for project/job site.
Fire Protection
- Standpipe & Hose System
- Portable Fire Extinguisher
- Sprinkler System
- Hot Work Permit System
- Hydrants
- None
Describe Private Protection During Construction.
Is There Daily Cleanup of Project/Job Site?*
- Yes
- No
Project/Job Site Clean-up.
What Cover Desire?
- Flood
- Earthquake
- Testing of Equipment
- Delayed Start-up
- None of the Above
Check Box for Coverage Desired.
Loss History
Date of Occurrence Description Amount of Loss

Enter Loss History for the past 5 years. If more than one Loss click + at the end of row.
General Contractor's Experience*
Number of Years In Business Are you Bonded

Enter Answers to Questions about General Contractor's Experience as a Builder.
Additional Interest
(Name) (Address) (City) (State) (Zip Code) (Loan #) (Email address of Additional Insured)

Enter the Name of Person, Financial Institution, or Organization who needs to be added as Additional Insured to the policy.
Comments
This field is for validation purposes and should be left unchanged.

(#Storyes)	(Sq. Ft. of Area)	(Type Foundation)	(Construction Material)	(Heating Type)	(Demolition Type)	(Inside City Limits)	(Distance/Fire Hydrant)	(Distance/Fire Station)

Date of Occurrence	Description	Amount of Loss

Number of Years In Business	Are you Bonded

(Name)	(Address)	(City)	(State)	(Zip Code)	(Loan #)	(Email address of Additional Insured)