Builders Risk Fact Finder

Individual/Company name

Contact Name

Phone

Project Start Date

Mailing address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Building address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Building type

Construction type

Number of stories

Roof Type

Total Sq/ft

Estimated time to complete project

General Contractor name

General Contractor address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

General Contractor years’ experience

Total Value of building