Property Coverage
 
COMMERCIAL SPECIALISTS INSURANCE SERVICES
is one of the largest agencies in the Western States that focus exclusively on the needs of the Western States Building Trade Contractor.
Property Section
APPLICANT *
PROPOSED EFF. DATE PROPOSED EXP. DATE BILLING PLAN PAYMENT PLAN AUDIT
AGENCY DIRECT

PREMISES INFORMATION
Subject of Insurance Amnt Coins % Valuation Causes of Loss Inflation Guard Deductible Forms and Conditions
%
%
%
%
Additional Coverages, Restrictions, Endorsements and Rating Information
Construction Type Fire District/Code # Prot. CL. # stories # basm'ts YR. built Total Area

Building Improvements Other Occupancies
Wiring YR:
Roofing YR:  
Plumbing YR:  
Heating YR:  
Other:  

Right Exposure & Distance Left Exposure & Distance Rear Exposure & Distance

Burglar Alarm Type Certificate # Expiration Date Extent Grade
Burglar Alarm Installed and Serviced By # Guards/Watchmen Clock Hourly

Fire Protection (Sprinklers, Standpipes, CO2/Halon Systems) Fire Alarm Manufacturer
Applicant Email Address: *
 

Enter Text Above: *
 
 
 ©2005 Commercial Specialists Insurance Services. All rights reserved. 
License # 0D80851