Commercial Property Indication

	• required
• Named Insured:
• Property Address:
Address (cont.):
• City:		• State:	Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	• Zip:
• Email:				Phone:

	• Property Type:	Office Building Retail Space Warehouse Apartment Condominium Vacant Land		• Construction Type:	Wood Frame Masonry Steel Frame Concrete Tilt-up
	Square Footage:			• Year Built:
	Number of Units:			Number of Pools:
	Number of Stories:			Building Value:
				Rental Income Annually:
	• Sprinklers?	Yes No	• Earthquake	Yes No