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Property Factors
Name
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First
Last
Email
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Phone
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Company Name
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Do you have a Replacement Cost appraisal on file?
(Required)
Yes
No
Not Applicable to my Business
Unsure -- Please Contact me to Discuss
Does your business have an alarm system?
(Required)
Yes
No
Not Applicable to my Business
Unsure -- Please Contact me to Discuss
Does your business have a fire alarm?
(Required)
Yes
No
Not Applicable to my Business
Unsure -- Please Contact me to Discuss
Does your business have a sprinkler system?
(Required)
Yes
No
Not Applicable to my Business
Unsure -- Please Contact me to Discuss
Does your business have a burglar alarm?
(Required)
Yes
No
Not Applicable to my Business
Unsure -- Please Contact me to Discuss
Is your roof less than 20 years old?
(Required)
Yes
No
Not Applicable to my Business
Unsure -- Please Contact me to Discuss
Has your electrical system been updated within the last 20 years?
(Required)
Yes
No
Not Applicable to my Business
Unsure -- Please Contact me to Discuss
Does your Agent facilitate Quarterly property claims reviews between you and your insurance carrier?
(Required)
Yes
No
Not Applicable to my Business
Unsure -- Please Contact me to Discuss
Is your building in a Class / Fire Protection Code Class 1-4?
(Required)
Yes
No
Not Applicable to my Business
Unsure -- Please Contact me to Discuss
Have you completed a Business Income worksheet in the last 12 months?
(Required)
Yes
No
Not Applicable to my Business
Unsure -- Please Contact me to Discuss
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