Remarks: PROPERTY INFORMATION 33. Location where you conduct garage operations: 34. Coverage/Valuation Requested: Coverage Subject of Protection Valuation: Form: Basic, Amount Deductible Insurance Class or RC Broad or Percent Special Building Coverage Bldg. 1 $ $ Bldg. 2 $ $ Business Personal Property Bldg. 1 $ $ Bldg. 2 $ $ Business Income: Bldg. 1 With Extra $ $ Expense Without $ $ Expense Bldg. 2 With Extra $ $ Expense Without $ $ Expense 35. Building Information Total Total Fire Building Building Building No. of Sprinkler Burglar Alarm— Sq. Ft. Sq. Ft. Protection No. Age Constr. Stories System Type Building Occupied System Yes Yes Central Station No No Local Yes Yes Central Station No No Local Yes Yes Central Station No No Local 36. Building Improvements: Provide year updated Wiring Roof Plumbing HVAC Other
Remarks: PROPERTY INFORMATION 33. Location where you conduct garage operations: 34. Coverage/Valuation Requested: Subject of Insurance Amount Percent Protection Class Valuation: or RC Coverage Form: Basic, Broad or Special Deductible Building Coverage Bldg. 1 $ $ Bldg. 2 $ $ Business Personal Property Bldg. 1 $ $ Bldg. 2 $ $ Business Income: Bldg. 1 With Extra Expense $ $ Without Expense $ $ Bldg. 2 With Extra Expense $ $ Without Expense $ $ 35. Building Information Building No. Building Age Building Constr. Total Sq. Ft. Building Total Sq. Ft. Occupied No. of Stories Sprinkler System Fire Protection System Burglar Alarm— Type Yes No Yes No Central Station Local Yes No Yes No Central Station Local Yes No Yes No Central Station Local 36. Building Improvements: Provide year updated Wiring Roof Plumbing HVAC Other
Western-Heritage-Garage-App.docx