House New Construction Name(s) of the owners of the property: What is your MAILING address: Your email address: Address of insured property for NEW HOME: (incl. postal code): Best phone number to call you at:Are all person(s) who will live in this home: Non smoker(s) At least one person smokes in this home. What best describes your situation: I will act as my own general contrator I will hire a general contractor Please advise name of your general contractor? If you are hiring a general contractor, please confirm the following: Yes, my contractor has insurance No, my contractor does NOT have insurance. What stage of construction are you at: The land is cleared , just waiting for the excavator to start digging The excavator is digging the foundations. I'm at the foundation stage I'm at framing stage I'm at lockup stage I'm past lockup stage Still waiting to demo the old house. The old house has been torn down and they are removing old debris. If the excavation has already started for the new foundations, which date did the excavation start?What is the address of where you are living during the construction of this new home:Do you require personal property / personal liability where you live during the construction?What is the occupation(s) of all insureds on policy:Any claims in the last 5 years? If yes, please state date of loss, amount paid out by ins. company and briefly outline what happened.What is the birthdate(s) of all insureds on the policy? What is the birthdate(s) of all insureds on the policy? Insurance companies may give extra discounts based on a soft credit check. A soft credit check is the type of credit inquiry that does not hurt your credit score. Soft credit checks happen when you check your own credit report, for example. Please click yes if you authorize insurers to check your soft credit score. Yes No Year Construction started on new home: If you are new client to our office, please send us the first first few pages of your current or previous home insurance policy:Max. file size: 10 MB.Which date do you require insurance on this property? Upon completion your intention for this new home will be to: My family will move into the home I will be putting this home up for sale I will be renting this home out to others How many families TOTAL (including your family) will live here upon completion? one two three four Is this home within 300 meters of a fire hydrant & within 8kms of a manned firehall? Yes No Do you have a registered mortgage on this home? Yes - with a Bank in Canada Yes - with a private lender No - my home is clear title I have a credit line on this home and the bank does NOT need to be named on the policy. Square footage of basement below ground: Does the basement have a walk out? Square footage of first floor above ground: Square footage of second floor above ground: Square footage of third floor above ground: Any balcony(s)/deck(s)? please outline square footage of each: Do you have any of the following: Laneway house rented out to one family Shed detached Solarium attached solarium any other detached living space Do you have any flat glass or dome glassed skylights: Are the exterior walls of your home mostly: 2x6 2x4 Are the interior walls of your home mostly: 2x6 2x4 If you have a basement below ground , is it mostly: finished unfinished I do not have a basement What is the primary material of the exterior walls of the home: stucco stucco with 10% stone/brick veneer vinyl cedar combination of stucco and wood aluminum hardi plank other , not listed here What percentage of your home has 8 foot ceilings What percentage of your home has 9 foot ceilings What percentage of your home has 10 foot ceilings What percentage of your home has vaulted ceilings (over 10ft) What type of roof do you have? asphalt shingles Torch on Tar and gravel concrete tile clay tile metal other Do you have any garages or carports? detached garage for 1 car detached garage for 2 cars detached carport for 1 car detached carport for 2 cars built in garage for 1 car built in garage for 2 cars none Please estimate percentage of each of these types of flooring in the entire home (hardwood, tile , granite, carpet, laminate, linoleum, polished concrete , other ...)How many kitchens do you have? 1 2 3 4 5 How many bathrooms do you have? 1 2 3 4 5 6 7 8 Do you have wood burning fireplace(s)? Yes, 1 fireplace connected to a brick chimney Yes, 2 fireplaces connected to a brick chimney No, I do not have a brick chimney. Do you have wood burning fireplace(s)? Yes , 1 direct vent Yes, 2 direct vent Yes , 1 passing through a B-Vent Yes, 2 passing through a B-Vent No, I do not have a natural gas fireplace Do you have a free standing wood burning stove? No Yes and I have a passed WETT inspection Yes and I do NOT have a WETT inspection. What type of heating do you have? Hot warm (forced) air (natural gas) Hot water baseboard (natural gas) Radiant in-floor hot water heating Electric Baseboard Electric in floor heating Do you have a cooling system? No, I do not Yes, and I use the same ducts as my hot air system Yes, and I use separate ducts as my hot air system. Yes, I have high efficiency central air using same ducts Yes, I have high efficiency using separate ducts Please check mark if you have any of the follwowing: local burglar alarm monitored burglar alarm monitored burglar & fire alarm interior sprinklers water sensors water leak detection system back water valve sump pump battery Please check mark if you have any of the follwowing: central vacuum elevator jacuzzi tub hot tub indoor pool skylights outdoor pool any oil tank(s) on premises Please confirm type(s) of plumbing you have? Copper Plastic pex Please confirm type of electrical you have? 100 amp circuit breakers 200 amp circuit breakers other How long do you think construction will last: less than 12 months between 12 - 18 months Over 18 months Please advise if you would like any of the following coverages: Earthquake insurance Are you building this home under the "new home warranty program" Yes No My general contractor is in good standing and under this program How did you find out about our office? I have an existing home policy with you. I was referred by someone I am a personal client of one of your producer/ staff members. I found you via Google search I noticed your office when I was driving/walking by. I am an existing auto insurance customer. EmailThis field is for validation purposes and should be left unchanged.
