Builders Risk Coverage Application

Application for Builders Risk Coverage through NGU Risk Management.

Entity Name*
Entity is a...*
Name of Campus*
Billing Address*
Street Address City State ZIP Code
Construction Address*
Street Address City State ZIP Code
Occupancy Description of Construction*

Office(s), Classroom, Gym, etc.
Addition to Exsisting Building?*
If Yes, Which Building*
Will there be a Sprinkler System?*
Type of Construction*

Masonry, Non-combustible, Frame, etc.
Protection Class

Enter if known. If not known, NGU will determine the Protection Class.
Is this a Renovation?*
If Yes, Describe Renovation*
Number of Floors*
Square Footage*
Estimated Completed Value*
Deductible*
Construction Start Date*
Expected Completion Date*
Type of Security (Inside & Outside)*

Fencing, Lighting, Guard, etc.
Flood / Quake?*
Terrorism*
Name of Contractor*
Contractor Address*
Street Address Address Line 2 City State ZIP Code
Name of Who to Call for Loss Control Survey*
Loss Control Surveyor Phone Number*
Number of Years Experience*
Person Completing this Application*
Email Address*

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