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For a list of quote forms available, please press "Applications" tab above.

           R.R.I.S. BUILDERS RISK (COC) QUOTE REQUEST    

To request a no-cost, no-obligation insurance quote, just fill out the information below and press the submit button.

You may print and fax to our office if you wish.  We'll have a representative call at your convenience to give you a quote.

Ritchie and Rose Insurance Services, Inc. DOI#0F44143

PO Box 1114, Anderson, CA  96007

email: sherir@ritchieandrose.com

http://www.ritchieandrose.com

Phone: 530-365-4705    Toll Free Fax: 866-885-1428


Please fill in the following information for your best COC/Builders Risk quote.

Please provide the following contact information:   

Referral Agent

 (The Referral Agent is the name of your Insurance Agent in our office or how you became aware of our website)

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
URL
FEIN#                

What type of entity are you?


What is the address of the project, including county?


Project type:


What type of construction is this?


If this is a remodel, what year was it built?


Who is th Project Manager?


What is the name of the General Contractor/Remodeler?

First Name
Last Name

How many years has this Contractor/Remodeler been in business?


Has this Contractor/Remodeler had any losses?

yes
no

How many structures has this Contractor/Remodeler built in past 12 months/next 12 months?


What is the projected start date?


What is the anticipated completion date?


If project has already started, what percentage of the project is finished and what date did it start?


What is the completed value of the building (sales price less cost of land)?


What are the soft costs (overhead, profit, interest, fees, accounting, etc)?


What are the values of fences/walls?


What deductible would you like?


How many buildings are there?


How many units are there in each building?


How far apart are the buildings?


What fire protection class is the project in (range is 3 to 10, depending on fire department response time and availability of water)?


What construction type is the building?


What is the name and address of additonal insured/mortgagee and loan number?


Please add any comments or additional information, if any:



sheriritchie@gmail.com
Copyright 2006 [Ritchie & Rose Insurance Services, Inc.]. All rights reserved.
Revised: 06/08/2013 04:50 PM