| Desired Coverages |
| Building Amount: |
$ |
| Annual Income: |
$ |
| Contents Amount: |
$ |
| Deductible: |
|
| Employee Dishonesty: |
|
| Employee_Benefits_Liability: |
|
| Money & Securities: |
|
| Valuable Papers: |
|
| Building Ordinance: |
Yes
No
|
| Agreed Amount Endorsement: |
Yes
No
|
| Inflation Guard: |
|
| Outdoor Sign Value: |
|
| Earthquake Sprinkler Leakage: |
Yes
No
|
| # of Additional Insureds: |
$ |
| General Limit Liability: |
|
| Guest Medical: |
|
| Liquor Liability: |
|
| Non-owned/Hired Auto Liability: |
|
| Inn-Keepers Legal Liability: |
|
| Tenant Fire Legal Liability: |
|
| Garage Keepers Collision Value: |
|
| Garage Keepers Collision Deductible: |
|
| Garage Keepers Other Than Collision Value: |
|
| Garage Keepers Other Than Collision Deductible: |
|
|