Insurance Quote Form - Thomas Fenner Woods Agency

Franchisee

New Project Legal Entity

Check One

Individual

Partnership

Corporation

LLC

Other

If other, explain

Common Majority Ownership with Franchise Entity?

Yes

No

If no, please list names of owners and percentage of ownership

Name of the project

Are you, as developer, also the general contractor?

Yes

No

If no, please provide the name and address of the general contractor

Will there be any additional owners involved in direct supervision of the construction activities?

Yes

No

If yes, how many?

Purchase date of land:

Number of Acres:

Estimated additional payrolls for this project:

Executive Supervisors:

Carpentry:

Other (list position and payroll):

Estimated cost of subcontractors (labor and materials supplied) for the entire project including site work:

*If you need assistance calculating this, you can forward a copy of your pro forma spreadsheet for our review.

Estimated subcontractor cost for next 12 months

Location of development (street, city, state, zip code and county):

Anticipated start date of project (date excavation begins)

Estimated completion date of project

Total number of buildings in the development (excluding the community house)

Number of detached buildings

Number of 2-unit buildings

Number of 4-unit buildings

Total number of units in the development

Number of community houses

Number of pools

Number of ponds

Please list any other amenities being provided (i.e., putting greens, barbeque areas, bridges, dock slips, etc.)

Will the finished community be a considered a condo association or a homeowner’s association?

Completed Building Values

Do not include: site work, streets, roads, sewers, pool, furnishings, landscaping, land, fees, marketing or other soft costs.

Your replacement cost for the community house

Your average replacement cost per detached building

Your average replacement cost per 2-unit building

Your average replacement cost per 4-unit building

Average square footage per unit

Approximate replacement cost for personal property in the community house including, but not limited to: furniture, health equipment, and non built-in appliances

Soft Cost Coverage

Yes

No

If yes, limit

$100,000 w/$5,000 deductible

$500,000 w/$5,000 deductible

Flood/Earthquake Coverage (may not be available in some areas)

$500,000 w/$10,000 deductible

$1,000,000 w/$25,000 deductible

Additional Documents Needed Upon Availability:

Copy of the contract being used with your general contractor or subcontractors
Association declarations and bylaws
If you have current construction liability and builders risk coverage in place, please provide a copy for our review.

File

Max. file size: 5 MB.

Completed Building Values

Additional Documents Needed Upon Availability:

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