您偏好的溝通語言 Preferred Language*
被保人為? Description of named insured*
建商的名稱是否與被保人不同？ Is the builder's name different than the named insured*
建商／翻修商／業主／總承包商是否具有至少兩年的經驗？Does builder/remodeler/owner/GC have at least 2 years experience?*
您是如何得知我們的？How did you hear about us?*
預估在未來12個月內將進行的建築／工程項目數量 Number of structures/projects projected for the next 12 months*
在過去三年內，建商／翻修商及／或該建築物本身是否曾發生任何單一損失或損害超過10,000美元的情況？（包括有保險和無保險的損失／損害）Has the builder/remodeler and/or structure itself had any single loss or damage over $10,000 in the last 3 years (Include insured/uninsured losses/damages)*
承包商或業主是否需要在此保單中投保多於一座建築物／結構？Will the contractor or owner need to insure more than one building/structure on this policy?*
建築材料 Construction material *
建築物在保單有效期間是否會被使用或居住 Will structure be occupied at any time during the policy term*
預期建築物或房產的使用方式 Intended occupancy*
此位置是否曾因地震、洪水、風災、火災或故意破壞造成任何損害（包括有保險和無保險的損害）Any previous damage at this location as a result of quake, flood, wind, fire or vandalism (include insured and uninsured damages) *
工程是否已經開始 Has the project started*
該結構是模塊化的嗎？Is the structure modular*
此工程是否涉及安裝太陽能系統？Will this project involve installation of solar*
建築商/翻修商是否曾完成類似工程？Has Builder/Remodeler Completed This Type of Project Before?*
是否有損失預防計畫？Loss Prevention Program?*
是否有任何相關方曾申請破產？Have Any of the Interested Parties Ever Filed Bankruptcy?*
外牆支撐骨架 Exterior wall support framing*
這棟建築有防火牆嗎？Does the structure have firewalls?*
現場安全措施（可多選）Site Security (Check All That Apply)
請選擇指定的經紀或是客服人員 Please select a designated agent or customer service representative.*
