Property Insurance Details, please

Commercial Property Intake Form

Form to gather property information for property coverage

Business Legal Name(Required)

DBA Doing Business As Name

Do you have more than 1 Location?(Required)

Do you own your building?(Required)

Per your Lease agreement are you responsible for the A/C or any improvements/betterments?(Required)

Building Address to cover(Required)

Full address of building, address, city, state and zip

Premises 1 Values of Building, Contents & Tools/Equipment(Required)

What value do you want to insure the building to be rebuilt, the contents if you lost them and tools/equipment. Provide preferred deductible, if desired.

Monitored Burglar Alarm(Required)

Monitored Fire Alarm(Required)

Building Sprinklered?(Required)

Does your building have fire sprinklers throughout?

Year Built(Required)

When was the building built?

Roof Type and age or last time replaced?(Required)

Roof Type- rolled, tar and pebble, etc. Age of the roof or last time it was replaced.

Number of Stories(Required)

Exterior Building Construction Type(Required)

Please pick one Most are Frame or Joisted masonry Here’s a resource if you’re unsure: https://www.irmi.com/term/insurance-definitions/building-construction-categories-(iso)

Total Building Square Footage(Required)

Total Square Footage you Occupy(Required)

How much is your suite if you don’t occupy the entire building? I have 18500 sq. ft.

If building is over 15 years old, please provide Year of Updates for Wiring, Plumbing, Heating(Required)

Wiring/electrical, Plumbing, Heating or a/c heater unit or units

If More than 1 Location, List addresses and # of Buildings

Location Address and Total number of buildings at each location-

Other Coverages

Business Income

Business Income Utilities

Crime

Electronic Data

Equipment Breakdown

GarageKeepers

Jewelers Block

Does your bank or anyone else need proof of property insurance?(Required)

Let us know the name, address and if they’re a loss payee or Mortgagee, please.

Request Your Proposal Here

Are you ready to save time, aggravation, and money? The team at Ochsner Insurance is here and ready to make the process as painless as possible. We look forward to meeting you!

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