Locations |
ADDITIONAL PREMISES INFORMATION |
Location # |
Premises # |
Locations |
ADDITIONAL PREMISES INFORMATION |
Address |
Street Address |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Building or Sub Location |
Building # |
Location |
ADDITIONAL PREMISES INFORMATION |
Building/Sub-Location Description |
Building Description |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Subject of Insurance |
Subject of Insurance |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Amount/Value |
Amount |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Coinsurance% |
Coins % |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Valuation |
Valuation |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Cause of Loss |
Causes of Loss |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Inflation Guard% |
Inflation Guard % |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Deductible |
Deductible(s) |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Deductible Type |
Ded Type |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Blanket# |
Blkt # |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Subject of Insurance |
Subject of Insurance |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Amount/Value |
Amount |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Coinsurance% |
Coins % |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Valuation |
Valuation |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Cause of Loss |
Causes of Loss |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Inflation Guard% |
Inflation Guard % |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Deductible |
Deductible(s) |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Deductible Type |
Ded Type |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Blanket# |
Blkt # |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Subject of Insurance |
Subject of Insurance |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Amount/Value |
Amount |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Coinsurance% |
Coins % |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Valuation |
Valuation |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Cause of Loss |
Causes of Loss |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Inflation Guard% |
Inflation Guard % |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Deductible |
Deductible(s) |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Deductible Type |
Ded Type |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Blanket# |
Blkt # |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Subject of Insurance |
Subject of Insurance |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Amount/Value |
Amount |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Coinsurance% |
Coins % |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Valuation |
Valuation |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Cause of Loss |
Causes of Loss |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Inflation Guard% |
Inflation Guard % |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Deductible |
Deductible(s) |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Deductible Type |
Ded Type |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Blanket# |
Blkt # |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Subject of Insurance |
Subject of Insurance |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Amount/Value |
Amount |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Coinsurance% |
Coins % |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Valuation |
Valuation |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Cause of Loss |
Causes of Loss |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Inflation Guard% |
Inflation Guard % |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Deductible |
Deductible(s) |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Deductible Type |
Ded Type |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Blanket# |
Blkt # |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Cause of Loss |
Spoilage Coverage Yes |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Amount/Value |
Limit |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Deductible |
Deductible |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Cause of Loss |
Power Outage (checkbox) |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Cause of Loss |
Accept Coverage |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Amount/Value |
Limit |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Cause of Loss |
Accept Coverage |
Comm'I
Prop.Location Specific Coverage |
ADDITIONAL PREMISES INFORMATION |
Amount/Value |
Limit |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
# of Open Sides on Structure |
# Of Open Sides on Structure |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Construction type |
Construction Type |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Feet to Hydrant |
Distance to Hydrant |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Miles to Fire Station |
Distance to Fire Station |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Fire District |
Fire District |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Fire District Code |
Code Number |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Protection Class |
Prot Cl |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
# of Stories |
# Stories |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
# Basements |
# Basm'ts |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Year Built |
Yr Built |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Total Area |
Total Area |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Wiring |
Building Improvements Wiring |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Year Updated |
Building Improvements Wiring
Year |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Roofing |
Building Improvements Roofing |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Roofing |
Building Improvements Roofing
Year |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Plumbing |
Building Improvements Plumbing |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Plumbing |
Building Improvements Plumbing
Year |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Heating |
Building Improvements Heating |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Heating |
Building Improvements Heating
Year |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Other Improvements |
Building Improvements Other |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Other Improvements |
Building Improvements Other
Description |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Building Code Effectiveness Grade |
Bldg Code Grade |
Location |
ADDITIONAL PREMISES INFORMATION |
Tax Code |
Tax Code |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Roof Type |
Roof Type |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Other Occupancies |
Other Occupancies |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Wind Class |
Wind Class Resistive |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Wind Class |
Wind Class Semi Resistive |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Wind Class |
Wind Class Other |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Heating Boiler on Premises? |
Primary Heat Boiler (checkbox) |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
If Yes, Is insurance Placed
elsewhere? |
If Boiler, is insurance placed
elsewhere? Y / N |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Right Exposure |
Right Exposure and Distance |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Distance |
|
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Left Exposure |
Left Exposure and Distance |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Distance |
|
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Front Exposure |
Front Exposure and Distance |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Distance |
|
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Rear Exposure |
Rear Exposure and Distance |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Distance |
|
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Alarm Type |
Burglar Alarm Type |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
U.L. Certificate # |
Certificate Number |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Certificate Expires |
Expiration Date |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Central Station? |
Central Station |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Keys? |
With Keys |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Local Gong? |
Local Gong |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Installer/Servicer |
Burglar Alarm Installed and
Serviced by |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Extent of Protection |
Extent |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
U.L.Grade |
Grade |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
# Watchmen |
# Guards / Watchmen |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Watchman Credit |
Clock Hourly |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Watchman Credit |
Other |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Watchman Credit |
Other Description |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Sprinkler Type |
Premises Fire Protection |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Sprinklered area % |
% Sprnk |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Manufacturer of Alarm System |
Fire Alarm Manufacturer |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Central Station? |
Central Station |
Comm'I
Prop.Underwriting |
ADDITIONAL PREMISES INFORMATION |
Local Gong? |
Local Gong |