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Header1
Select what best fits the property:
*
Adult daycare
Aircraft hangar
Airport terminal
Apartment 4+ units (Client ordered each building value)
Apartment 4+ units (Total all buildings together)
Auditorium
Auto mini lube
Auto Sales/Showroom
Auto salvage
Auto service center
Bank
Bar/Tavern
Beauty salon/Barber shop
Bed and breakfast
Bowling alley
Bus terminal
Cannabis store/Warehouse
Car wash
Caterer
Church
Cold storage facility
Community center
Convenience store
Country club
Daycare center
Department store
Discount store
Duplex/Triplex 2-3 units
Fast food restaurant
Fitness center
Funeral home
Heavy manufacturing
HOA/POA (Home/Property owner association)
Hotel/Motel
House converted to office
Laundromat/Dry cleaning
Light manufacturing
Medical office
Mini storage warehouse
Mobile home park
Movie theater
Multi-occupancy business
Nursing home/Retirement home
Office
Open pavilion
Other (Explain in business description)
Parking garage
Post office
Prison
Private club
Rental/Meeting hall
Restaurant
Restroom building
Retail store
Retreat center
School
Self-storage warehouse
Shopping center strip
Single family dwelling
Social club
Strip center
Supermarket/Grocery
Surgical center
Townhome/Condominium HOA
Townhome/Condo (1 unit)
Townhomes/Condo complex
Vacant building
Vacant dwelling
Vacant land or vacant parking lot
Warehouse
Types of building(s) on property:
*
Common buildings on property
Mobile homes owned by the insured
Single family dwelling
No buildings
Swimming pool
*
Yes
None
Header2
Select all that apply:
*
None
Apartment
Convenience store
Daycare
Hotel/Motel
Laundromat/Dry cleaners
Nightclub
Playground
Restaurant
Header3
Name
*
First Name
Initials
Last Name
Email
*
Active fields on your form can be edited in the box below.
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