VI. Optional Additional Coverages Coverage description Limit Deductible Better green endorsement $ Same as structure Building rating: Certified Silver Gold Platinum Check how many days: Business income and extra expense $ 3 5 7 10 ** New Constr. Commercial only 14 21 30 Change order endorsement If what is the percentage? “Yes”, Same as structure Include the change order endorsement 10% 20% 30% Earthquake What is the building shape? $ $100,000 / 10% Rectangle/box L shaped T shaped U shaped Other If specify: “Other”, Flood Yes No Flood coverage If in zone: Is the risk located in a known flood zone? Yes No $50,000 / 10% Yes No Basement Will the HVAC or other systems and equipment be on If not in flood zone: the first floor or in a basement? Yes No $25,000 / 5% Yes No Does this project consist of multiple buildings? If Yes, how many? Testing coverage for building systems ** New Constr. only Same as structure Add testing coverage for building systems and coverage Yes No Waiver of coinsurance ** New Constr. Commercial only Add waiver of coinsurance Yes No Extended permission to occupy endorsement ** New Constr. Commercial only Add extended permission to occupy endorsement Yes No If yes, what is the percentage requested until expiration date of the policy? % Soft ** New Constr. only Soft costs include: Advertising & promotion expense Interests on Construction Loan Check how many days: Architect, Engineer & Consultant Fees $ 3 5 7 10 Real estate & Property Tax Assessments 14 21 30 Commissions or fees for renegotiation of leases Insurance Premiums Legal and Accounting Fees Fees for Licenses & Permits ADDITIONAL SECTIONS (complete only if prompted to from a previous section or if coverage is required) VI. Protection class information (complete if structure is unprotected) Is the fire department manned 24 hours a day? Number of miles to the nearest fire station: Yes No
VI. Optional Additional Coverages Coverage description Limit Deductible Better green endorsement Building rating: Certified Silver Gold Platinum $ Same as structure Business income and extra expense ** New Constr. Commercial only $ Check how many days: 3 5 7 10 14 21 30 Change order endorsement Include the change order endorsement If “Yes”, what is the percentage? 10% 20% 30% Same as structure Earthquake What is the building shape? Rectangle/box L shaped T shaped U shaped Other If “Other”, specify: $ $100,000 / 10% Flood Flood coverage Yes No Is the risk located in a known flood zone? Yes No Basement Yes No Will the HVAC or other systems and equipment be on the first floor or in a basement? Yes No Does this project consist of multiple buildings? Yes No If Yes, how many? If in zone: $50,000 / 10% If not in flood zone: $25,000 / 5% Testing coverage for building systems ** New Constr. only Add testing coverage for building systems and coverage Yes No Same as structure Waiver of coinsurance ** New Constr. Commercial only Add waiver of coinsurance Yes No Extended permission to occupy endorsement ** New Constr. Commercial only Add extended permission to occupy endorsement Yes No If yes, what is the percentage requested until expiration date of the policy? % Soft ** New Constr. only Soft costs include: Advertising & promotion expense Interests on Construction Loan Architect, Engineer & Consultant Fees Real estate & Property Tax Assessments Commissions or fees for renegotiation of leases Insurance Premiums Legal and Accounting Fees Fees for Licenses & Permits $ Check how many days: 3 5 7 10 14 21 30 ADDITIONAL SECTIONS (complete only if prompted to from a previous section or if coverage is required) VI. Protection class information (complete if structure is unprotected) Number of miles to the nearest fire station: Is the fire department manned 24 hours a day? Yes No
APRIL-Canada-COC-and-Wrap-Up-application.docx