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Type of Policy*

Builder’s Risk Insurance
(House Flippers)

Landlord Insurance
(Rental Properties)

APPLICANT INFORMATION

Contact Name*

Mailing Address*

Street Address City State ZIP Code

Email Address:*

Phone Number:*

PROPERTY INFORMATION

Property Address*

Street Address City State ZIP Code

Building Type*

Number of Units*

Occupancy*

SQ Footage*

Please enter a number from 0 to 99999.

Scope of Work

Remodel– Remodeling of interior finishes; exterior painting; replacement of interior fixtures, cabinets, flooring, etc. No structural changes.
Remodel/Minor Structural- Remodel work as listed above and minor changes to exterior (doors, windows, skylights, etc.). Roof replacement, ground floor additions and all non-structural changes such as HVAC, plumbing and electrical.
Restructuring- Repair, replace, remove load bearing walls. Adding additional stories, adding stairways or elevators. Structural retrofitting or foundation work such as underpinning and/or dewatering.

Remodel– Remodeling of interior finishes; exterior painting; replacement of interior fixtures, cabinets, flooring, etc. No structural changes.
Remodel/Minor Structural- Remodel work as listed above and minor changes to exterior (doors, windows, skylights, etc.). Roof replacement, ground floor additions and all non-structural changes such as HVAC, plumbing and electrical.
Restructuring- Repair, replace, remove load bearing walls. Adding additional stories, adding stairways or elevators. Structural retrofitting or foundation work such as underpinning and/or dewatering.

COVERAGE INFORMATION

Named InsuredThe individual or entity whose name will appear first on the policy declarations page*

The individual or entity whose name will appear first on the policy declarations page

Coverage Beginning Date*

MM slash DD slash YYYY

Term Length*

Coverage Amount:This is the recommended min amount of coverage we suggest *

This is the recommended min amount of coverage we suggest

Do you need Loss of Rents Coverage?Loss of Rents coverage protects you and your income in the event that your tenants have to move out after an insured event such as a flood or fire.*

Loss of Rents coverage protects you and your income in the event that your tenants have to move out after an insured event such as a flood or fire.

Do you need Sewer and Water Backup Coverage?Water backup insurance offers protection for any damage to your home caused by a blocked sewer line, broken sump pump, or clogged drains.*

Water backup insurance offers protection for any damage to your home caused by a blocked sewer line, broken sump pump, or clogged drains.

Do you need Ordinance or Law Coverage?Ordinance or law insurance covers the cost to rebuild a home that has been destroyed, as well as the cost to upgrade a home so that it meets the most up-to-date building codes after a covered loss.*

Ordinance or law insurance covers the cost to rebuild a home that has been destroyed, as well as the cost to upgrade a home so that it meets the most up-to-date building codes after a covered loss.

Is there a pool on the property?*

LENDER INFORMATION

Are you working with a Lender?*

Lender/Mortgagee Name:

Lender/Mortgagee Address:

Street Address City State ZIP Code

Expected Closing Date

MM slash DD slash YYYY

Loan Number

How Did You Hear About Us?*

Which Platform?*

Who Were You Referred By?*

Consent*

Please click here to authorize WCL Insurance Services to email and or text you when your quote is ready*

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