Commercial Coverage - RFQ- Building Coverage

Submission COC/OCP

Contact information:

Date In:

* required

Present Date:

QP In 360

* required

Contact:

Referred:

Mailing:

City/State/Zip:

Home #:

Work#:

Cell #:

Fax#:

Email:

FNI:

Transaction Profile:

ListingAgent:

Listing Tele:

BuyersAgent:

BuyersTele:

Banker:

BankersTele:

Escrow:

EscrowTele:

PropManager:

PropMgrTele:

Prop Name:

Site Address:

Building Profile, the completed project:

Prop Type:

# Apt Units:

City/State/Zip:

Situation?:

Year Built:

# of Stories:

# of Buildings:

Apt Sq Ft:

LRO Sq Ft:

Total Parking #:

Parking Type:

Claim History 5yr

Construction Profile:

COC Type:

GC Hired:

GC & Lic#:

Demo Req:

COC Term :

NeighType:

Roof Update:

Roof Type:

Vac/Stu/Sec8:

Sprinklers:

Const Type:

Reto Notes:

Const Term:

* required

Const Budget:

* required

Life & Saftey:

Fenced

Lights

Security

Fire Dep<5 m

HydrantsOnSite

StandPipe Install

StdPipOpp

Fire Ext Onsite

Coverage Profile:

PRICE

COVERAGE

SERVICE

COC Quote

Quote OCP

Comm Tenants

List Comm Tenants/Sqft each:

Short Story:

Current/Limits Blg Value: Bus Income: BPP:

* required

Other Coverage Request/Held/Cost UMB: Earthquake: Building Ord: Equip Breakdown:

* required