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Building Location
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Business Personal Property Limit
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Year Built
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e.g. Frame, Joisted Masonry
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Updates
Wiring
If updated, enter last year updated
Plumbing
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Heating/Air
If updated, enter last year updated
Roof
If updated, enter last year updated
Square Footage
Any aluminum wiring?
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Has the wiring been pigtailed?
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In the city limits?
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Any fire/burglar alarms?
Yes
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Are they central station alarms?
Yes
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Is the building sprinklered?
Yes
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General Liability Limits
Any subcontracted work?
Yes
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What percentage is subcontracted work?
What is total cost of subcontracted work?
Gross Receipts
Total Payroll
Driver Schedule (list all drivers' names, DOB, and drivers license)
Vehicle Schedule (list all vehicles' year, make, model, VIN, and current value)
Furthest a vehicle is driven to one point?
Coverage and Limits
Coverage Limits
Current class codes/type of work performed and coinciding payroll(s)
Number of part-time employees/full-time employees
Final Notes