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Commercial Property Quick Quote Worksheet

This form does not SAVE. If you cannot finish entering information onto this form in one setting, print the form out and fax it to the person in our office you are working with at 415-493-2505.

Name of owners:

Mailing Address:

Phone#:

E Mail Address:

Fax #:

Web Site Address:

Form of Ownership: (check one)
Corporation
LLC
Sole proprietor
Nonprofit
Partnership
Other:

Address of Property:

City, State and Zip of Property Address:

# of Stories:

# of Buildings:

# of Residential Units:

Square Footage (exclude basements or unfinished areas):

What Year was building built:

What Year was last roof put on?

Describe type of roof:

What Year was wiring upgraded?

Any fuses in building?
Yes
No

What year was plumbing upgraded?

Year heating was updated?

Type of heating?

Do you have a steam boiler?
Yes
No

Annual Rental Income?

Describe commercial occupancies:

Is building sprinklered?

Not Sprinklered
Yes
No

Partially Sprinklered
Yes
No

Fully Sprinklered
Yes
No

Is there a fire alarm?
Yes
No

Type of fire alarm:

Central station
Yes
No

Local
Yes
No

Is there a burglar alarm?
Yes
No

Type of burglar alarm:

Central station
Yes
No

Local
Yes
No

Are there smoke detectors?
Yes
No

Are there fire extinguishers?
Yes
No

Construction Type (check one):
Wood Frame: wood frame walls/floors/roofs
Joisted Masonry: concrete/masonry/brick walls & frame roof and/or floors
Masonry Noncombustible: walls & roof are made from noncombustible materials and supported by non fire proofed structural steel frame
Modified Fire Resistive: buildings are structural steel frame that is fireproofed with masonry, concrete, plaster, gypsum or other noncombustible material. The walls are combustible materials, and floors are roofs are reinforced concrete or concrete on fireproofed steel deck.
Fire Resistive: Buildings with reinforced concrete frame. The walls are noncombustible materials, and floors are reinforced and roof is reinforced concrete on fireproofed steel deck.

If frame construction, is building bolted to the foundation?
Yes
No

What percentage of the residential units are currently occupied?

Does the property owner and or management company allow tenants to have dogs on the property?
Yes
No

Do you have any knowledge of any mold forming on any part of the interior or exterior of your buildings?
Yes
No

Are there any student renters?
Yes
No

If yes, # of units occupied by student renters:

Are any windows covered with bars?
Yes
No

Optional

Please submit the following additional information via email or fax to 415-493-2505:

  • Other Helpful Information
  • Digital Photos
  • 3 years of loss history
  • Copy of current policy
  • Copies of Commercial Tenant leases
  • Summary of Insurance
  •