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Flood Insurance Quote |
| Contact
Information |
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| Building
Information |
| 10 |
Flood
Zone: |
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| 11 |
County: |
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| 12 |
Building
Occupancy: |
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| 13 |
Condo
Association and Residential Building? |
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| 14 |
Has
property incurred 2 or more losses? |
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| 15 |
Replacement
Cost: |
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| 16 |
Total
Building Coverage: |
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| 17 |
Total
Contents Coverage: |
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| 18 |
Building
Type: |
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| 19 |
Construction
Date: (mm/dd/yyyy) |
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| 20 |
Number
of units in building: |
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| 21 |
Condominium
Association: |
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| Basement
Information |
| 22 |
Basement/Enclosure
or Crawl Space: |
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| 23 |
Does
enclosure or crawl space area have compliant venting? |
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| 24 |
Finished
Area: |
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| 25 |
Machinery/Equipment: |
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| 26 |
Building
Elevated: |
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| 27 |
Lowest
floor which includes living area, is off the ground
by means of: |
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| 28 |
Area
used for: |
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| 29 |
Square
foot area: |
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| 30 |
Enclosure
Walls: |
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| Miscellaneous
Information |
| 31 |
Contents
Location: |
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| 32 |
Is
building flood-proofed: |
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| Comments
or Questions |
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