29 – 50 Union St. 2Fl. Flushing. NY 11354 (Headquarter) TEL +1 718 461 8300 Fax 718 461 8185
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Building Insurance Quote
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If Personal Name:
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Same as above?
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Building Description
Year Built
Construction Type
Frame
Masonry
Joisted Masonry
Fire Resistive
Number of Floors
Area(sq ft)
Buglar Alarm
Yes
No
Fire Alarm
Yes
No
Sprinklers
None
Partial
Full
Tenant Information
Number of Tenant
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Business Name
Type of Business
Area(sq ft)
1
2
3
4
5
Apartment Unit Information
Number of Apartment Units
#
Area(sq ft)
1
2
3
4
5
Coverage Plan
Building Amount
$
General Libility Section
General Aggregate
$2,000,000
Prod/Comp Operations Agg.
$1,000,000
Each Occurrence
$1,000,000
Fire Damage
$50,000
$100,000
$250,000
$500,000
Medical Payment
$5,000
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