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Outbuilding Information

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Outbuilding
Is this a high value? *
- Yes
- No
What is the building value (this is the building amount the customer gave to us on the order). *
Outbuilding used by? *
Description of Outbuilding
Description of the outbuilding. *
Outbuilding
Type of outbuilding? *
Total square footage? Square Feet *
Primary exterior wall construction? *
Interior walls? *
- Finished
- Unfinished
Interior wall finish *
Construction type? *
Explain other. *
Overall condition of the building? *
Explain poor condition. *
Click what applies. *
- Apartment
- Office
- Bathroom
- Tack Room
- Loft
- Other
- None
Apartment sq ft. sq ft. *
Office sq ft. sq ft. *
Bathroom sq ft. sq ft. *
Tack room sq ft. sq ft. *
Loft sq ft. sq ft. *
Other sq ft. sq ft. *
Has the outbuilding been remodeled? *
- Yes
- No
Foundation
What type of foundation? *
What other type of foundation? *
Is the basement finished out? *
- Yes
- No
Roof
Predominant roof construction? *
- Wood
- Metal
- Concrete
Predominant roof covering? *
Explain other. *
Roof condition? *
Explain poor roof condition. *
Roof updated *
- Yes
- No
- Unknown to insured
Years since last roof update? *
How was the roof updated? *
HVAC
Type of HVAC? *
Type of fuel or electric for the HVAC? *
- Natural gas
- Propane gas
- Electric
HVAC system updated? *
- Yes
- No
How many years since last HVAC update? *
Electrical
Does the building have electrical? *
- Yes
- No
Type of electrical panel protection? *
- Circuit Breakers
- Fuses
- Circuit Breakers and Fuses
Electrical updates? *
- Yes
- No
- Unknown to insured
How many years since last electrical update? year(s) *
What type of light fixtures are in the building? *
Did this outbuilding have any excessive extension cord use, multi-tap outlets or temporary wiring? *
- Yes
- No
Plumbing
Type of plumbing? *
Protection/Detection
Smoke Detectors
Smoke detectors? *
- Yes
- No
Type smoke detectors? *
- Battery
- Hardwired
- Battery and Hardwired
Carbon Monoxide Detectors
Carbon monoxide detector(s)? *
- Yes
- No
Type of carbon monoxide detectors? *
- Battery
- Hardwired
- Battery and Hardwired
Central Alarm System
Central alarm system? *
- Yes
- No
Type of alarm system? *
- Fire Alarm
- Burglar Alarm
- Fire and Burglar Alarm
Sprinkler System
Sprinkler system? *
- Yes
- No
Fire Extinguishers
Adequate fire extinguisher(s)? *
- Yes
- No
Extinguishers wall mounted? *
- Yes
- No
Extinguishers currently tagged? *
- Yes
- No
Date on extinguisher tag? *
- Month
- Day
- Year
Flammables
Are there any flammables stored in the building? *
- Yes
- No
Describe all flammables stored in the building. *
Is Hay stored in the building. *
- Yes
- No
Description of high value property. *
You do not need to complete the section below.
Building Values
Estimated building replacement cost *
Estimated building actual cash value cost. *
Outbuilding 1 ($) on the order: ##GENERICFIELD.Outbuilding 1 ($)##

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Confirmation Msg	Outbuildings

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