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Guard Insurance 15231 Burbank Blvd.
Sherman Oaks, CA 91411
Phone. 818.789.0722
Fax. 818.789.2835
Agent of Business Insurance, Workers Compensation, Auto Insurance, BOP, Property Insurance, Health Insurance, Homeowners Insurance, Commercial Property and more.
Business Property Insurance Quotes
Commercial Property quote
First and Last Name
Business Name
Mailing Address
Mailing Address 2
City, State Zip ,
Business Type
Company FEIN or Owner SS#
Email Address
Contact Phone Number
policy history: prior 3 years
Carrier Policy # Effective/ Expiration Dates Liability Limits

Any Claims or Losses?   Yes  No
If Yes Please Explain:

Please attach the last 3 years of updated loss run.

Locations requesting coverage
  • Location 1
  • Location 2
  • Location 3
  • Location 4
  • Location 5
Address
Address 2
City, State Zip ,
Description of Operations
on Premises.
Building Value
Loss of Rent / Income
Deductible

Building Info:
Construction Type:  Roof Type:
Year Built:  Sq Ft: Sq. Ft. Garage: Num of Floors:
Fire Protection: Sprinklered Non-Sprinklered

Building Improvements:
  Fully
Updated
Partially
Updated
Year
Improved
Heating
Electrical
Roofing
Plumbing

Does Building have a central Alarm?  Yes No
If yes, who installed it and can you provide a certificate?
Address
Address 2
City, State Zip ,
Description of Operations
on Premises.
Building Value
Loss of Rent / Income
Deductible

Building Info:
Construction Type:  Roof Type:
Year Built:  Sq Ft: Sq. Ft. Garage: Num of Floors:
Fire Protection: Sprinklered Non-Sprinklered

Building Improvements:
  Fully
Updated
Partially
Updated
Year
Improved
Heating
Electrical
Roofing
Plumbing

Does Building have a central Alarm?  Yes No
If yes, who installed it and can you provide a certificate?
Address
Address 2
City, State Zip ,
Description of Operations
on Premises.
Building Value
Loss of Rent / Income
Deductible

Building Info:
Construction Type:  Roof Type:
Year Built:  Sq Ft: Sq. Ft. Garage: Num of Floors:
Fire Protection: Sprinklered Non-Sprinklered

Building Improvements:
  Fully
Updated
Partially
Updated
Year
Improved
Heating
Electrical
Roofing
Plumbing

Does Building have a central Alarm?  Yes No
If yes, who installed it and can you provide a certificate?
Address
Address 2
City, State Zip ,
Description of Operations
on Premises.
Building Value
Loss of Rent / Income
Deductible

Building Info:
Construction Type:  Roof Type:
Year Built:  Sq Ft: Sq. Ft. Garage: Num of Floors:
Fire Protection: Sprinklered Non-Sprinklered

Building Improvements:
  Fully
Updated
Partially
Updated
Year
Improved
Heating
Electrical
Roofing
Plumbing

Does Building have a central Alarm?  Yes No
If yes, who installed it and can you provide a certificate?
Address
Address 2
City, State Zip ,
Description of Operations
on Premises.
Building Value
Loss of Rent / Income
Deductible

Building Info:
Construction Type:  Roof Type:
Year Built:  Sq Ft: Sq. Ft. Garage: Num of Floors:
Fire Protection: Sprinklered Non-Sprinklered

Building Improvements:


  Fully
Updated
Partially
Updated
Year
Improved
Heating
Electrical
Roofing
Plumbing

Does Building have a central Alarm?  Yes No
If yes, who installed it and can you provide a certificate?


 
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