Artisan GL – Stepper (ES5 Compatible)

Step 1 of 22 — Contact

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Let's start with the basics.

Please complete all fields.

Named Insured *

Required.

Business Name

Phone Number *

Required.

Email *

Please enter a valid email address.

Internal Reference Code Leave blank if you are requesting a regular quote

Coverage Term

Effective Date *

Required. Effective date cannot be in the past.

Months of Coverage *

Required (1-12).

Vacant Property Type *

Required.

Please specify *

Required.

Vacant Property Address

Address 1 *

Required.

Address 2

State*

Required.

ZIP Code *

Invalid ZIP.

City *

City list is provided from ZIP.

Required.

County

County is auto-selected from ZIP.

Required.

Located in High Crime Area?

Building Basics

Construction Type *

Required.

Building Coverage Limit *

Must be a number up to 1500000.

AOP Deductible *

Required.

Wind & Theft

Do you want Wind Coverage? *

Required.

Wind Deductible *

Required.

Do you want Theft Coverage? *

Required.

Theft Coverage *

Required.

GL Coverage

Do you want GL Coverage? *

Required.

Each Occurrence / General Aggregate *

Required.

Personal and Advertising Injury *

Required.

Damage to Rented Premises *

Required.

Medical Expense *

Required.

GL BI Deductible *

Required.

GL PD Deductible *

Required.

GL Deductible Type *

Required.

Quote details

Mailing Address

Same as Vacant Property address

Mailing Address 1 *

Required.

Mailing Address 2

State *

Required.

ZIP Code *

Invalid ZIP.

City *

City list is provided from ZIP.

Required.

County

County is auto-selected from ZIP.

Required.

Entity

Type of Entity *

Required.

Please specify *

Are you a Bank, Financial Institute, or Lending Institution? *

Required.

Premium Escrow

Premium Escrowed? *

Required.

Institution Name *

Required.

Street Address *

Required.

Account # *

Required.

State *

Required.

ZIP Code *

Invalid ZIP.

City *

City list is provided from ZIP.

Required.

Loss History

Any losses whether or not paid by insurance, during the last 3 years, at this location? *

Required.

Include losses whether or not paid by insurance.

Losses (you can add multiple)

Total Loss Amount

Foreclosure & Pool

Is this location in Foreclosure or Receivership? *

Required.

Is there a pool on property? *

Required.

All swimming pool(s) fenced, locked, and have "no swimming" sign posted? *

Required.

Is there any sinkhole activity on the premises? *

Required.

Prior Carrier

Did the expiring carrier cancel or non-renew? *

Required.

Please explain *

Required.

Prior Carriers (you can add multiple)

Security & Safety

Fully operational Central Station Alarm: *

When selected "No", theft coverage could not be applied

Required.

Building fully locked and secured from unauthorized entry? *

Required.

Utilities & Systems

Utilities disconnected: *

Required.

Will heat be maintained to prevent all plumbing and/or fire protective systems from freezing? *

Required.

Are all plumbing/pipe systems drained? *

Required.

Does building have a wet fire suppression system? *

Required.

Occupancy

Prior occupancy of building? *

Required.

How long has property been vacant? *

Years

Required.

Months

Required (0-11).

Reason for vacancy: *

Required.

Occupancy: *

Required.

Is building completely vacant? *

Required.

Building Details

Is building condemned? *

Required.

Year built: *

Required.

Square feet of all floors: *

Required.

Condition of building: *

Required.

Renovations

Are there renovations being done while it is vacant? *

Required.

Renovations (you can add multiple)

Roof

Roof Type: *

Required.

Please specify *

Roof Shape: *

Required.

Please specify *

Roof / HVAC Updates

Roofing update: *

Required.

Year of roofing update: *

Required.

HVAC Update: *

Required.

Year of HVAC update: *

Required.

Wiring / Plumbing Updates

Wiring update: *

Required.

Year of wiring update: *

Required.

Plumbing update: *

Required.

Year of plumbing update: *

Required.

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and I’ll get you squared away.

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info@myvacantguard.com