Commercial Property & Real Estate Insurance Quote

Step 1 of 3 - Contact Information

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Contact Information

Ownership, contact, and policy timing.

Contact name(Required)

Named insured or business entity(Required)

Mailing address(Required)

Phone number(Required)

Email address(Required)

Preferred contact method

When should coverage start?(Required)

MM slash DD slash YYYY

Property & building

Occupancy, construction, updates, and protection systems.

Property address(Required)

Property type(Required)

Occupancy status(Required)

Describe occupants or tenant businesses(Required)

Residential units

Commercial units

Special occupancy

Student housing

Short-term rental

Assisted living

Restaurant / bar

None

Do you own multiple properties?(Required)

Yes

If Yes, upload a property schedule instead of repeating a long form.

Year built(Required)

Total building square footage(Required)

Number of stories(Required)

Construction type(Required)

Roof type(Required)

Roof year(Required)

Major update years

Roof, electrical, plumbing, and HVAC.

Protection features

Central fire alarm

Burglar alarm

Smoke detectors

Sprinklers

Cameras

None

Renovation, unrepaired damage, or maintenance issue?(Required)

Yes

Please describe the work or issue(Required)

Values, coverage & history

Property values, desired coverage, and prior insurance.

Estimated building replacement cost(Required)

If unknown, enter 0 and explain in Notes that you need help determining it.

Business or landlord-owned property value

Furniture, equipment, inventory, and improvements.

Annual rental income or business income

Coverage requested

Building

BPP

Landlord furnishings

Liability

Loss of rents

Business income

Equipment breakdown

Ordinance / law

Water backup

Crime

Umbrella

Flood

Earthquake

Builder's risk

Liquor liability

Workers' compensation

Not sure

Are you currently insured?(Required)

Yes

Current insurance carrier(Required)

Current policy expiration date(Required)

MM slash DD slash YYYY

Property or liability claims in the last 5 years?(Required)

Yes

Please provide brief claim details(Required)

Include the approximate date, type of claim, and amount if known.

Cancelled, declined, or non-renewed in the last 3 years?(Required)

Yes

Please provide a brief explanation(Required)

Upload declarations, loss runs, appraisal, inspection, rent roll, photos, renovation information, or property schedule

Drop files here or

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 16 MB, Max. files: 10.

Optional. PDF, JPG, or PNG; up to 10 files. You can submit without uploading documents.

Anything else we should know?

Consent(Required)

I authorize Insurhaus to contact me regarding this insurance request.

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