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Business Property Information
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Fields marked (
*
) are mandatory.
Property 1 Information
Premises #
1
Building #
1
Address
*
Sub. Of Ins - Building (if owned)
Amount ($)
Coin (%)
80
90
100
Deductible ($)
100
250
500
1000
Valuation
Replacement Cost
Actual Cash Value
Sub. Of Ins - Contents
Amount ($)
Coin (%)
80
90
100
Deductible ($)
100
250
500
1000
Valuation
Replacement Cost
Actual Cash Value
Building Year Built
Building Construction Type
Building Square Footage
Other Occupancies
Property 2 Information
Premises #
1
2
Building #
1
2
Address
Sub. Of Ins - Building (if owned)
Amount ($)
Coin (%)
80
90
100
Deductible ($)
100
250
500
1000
Valuation
Replacement Cost
Actual Cash Value
Sub. Of Ins - Contents
Amount ($)
Coin (%)
80
90
100
Deductible ($)
100
250
500
1000
Valuation
Replacement Cost
Actual Cash Value
Building Year Built
Building Construction Type
Building Square Footage
Other Occupancies
Property 3 Information
Premises #
1
2
3
Building #
1
2
3
Address
Sub. Of Ins - Building (if owned)
Amount ($)
Coin (%)
80
90
100
Deductible ($)
100
250
500
1000
Valuation
Replacement Cost
Actual Cash Value
Sub. Of Ins - Contents
Amount ($)
Coin (%)
80
90
100
Deductible ($)
100
250
500
1000
Valuation
Replacement Cost
Actual Cash Value
Building Year Built
Building Construction Type
Building Square Footage
Other Occupancies
Other pertinent coverages and endorsements on your current property policy
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