Business Property Insurance Quote | Avery Insurance Agency

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BUSINESS HOME AUTO

Wolfeboro Office
21 S. Main Street
Wolfeboro, NH 03894
603.569.2515 or 800.759.7579

Portsmouth Office
7 Islington Street Unit 102
Portsmouth, NH 03801
603.766.3733 or 800.759.7579

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Please answer these questions based on your primary location and building. If you have additional locations or buildings, please submit another copy of this section and answer the questions for your other property. Home based businesses should complete the following questions based on the business portion of the home.
3.	What is the desired Property Deductible?
	$500	$1,000
	$5,000	$10,000
4.	Is the business within 1,000 feet of a fire hydrant?	Yes No
5.	Is the business within 5 miles of a Fire Station?	Yes No
6.	What is the 100% replacement value of the business personal property (including business contents, fine arts, value of all computer hardware and software and laptops)?	$
7.	What is the construction of the building where the business is located?
	Frame (wood)	Joisted masonry (brick)
	Non-combustible (steel)	Masonry non-combustible (tilt-up concrete)
	Fire resistive
	If the construction of the building is not known, please provide details on the materials used for the roof, floors and walls.

8.	What is the square footage of the space occupied by the business?
9.	Is the business the sole occupant of a free standing building?	Yes No
10.	Does the building have an automatic sprinkler system covering 100% of the premises?	Yes No
11.	Does the business have a central station burglar alarm?	Yes No
12.	Is there any use of grills or deep fat frying in your business operations or in any other businesses in your building? (i.e. restaurant in the same building)	Yes No

13.	Please indicate whether the following optional coverages are desired:
	a) Earthquake Coverage (not available in all areas)	Yes No
	b) Sprinkler Leakage - Earthquake	Yes No
	c) Flood Coverage (not available in all areas)	Yes No
	d) Computer Mechanical Failure and Computer Virus Coverage ($100,000 limit)	Yes No
	e) Systems Breakdown Coverage? (i.e. boilers, pressure vessels, AC units, etc.)	Yes No
	f) Mine Subsidence Coverage (KY, IL, IN, WV only)	Yes No
	g) Business Income from Dependent Properties ($10,000 limit)	Yes No
	h) Personal Property Off Premises and Property in Transit Limited International Extension Endorsement	Yes No
	i) Business Income Sub-limit	Yes No

	If yes, choose limit option desired:
	$100,000	$200,000
	$300,000	$400,000
	$500,000

	j) Business Income Waiting Period Deductible (24 hours)	Yes No
	k) Business Income Off Premises Power Failure ($10,000 limit)	Yes No

14.	Please indicate whether any of the following exclusions are desired:
	a) Business Income Exclusion	Yes No
	b) Theft Exclusion	Yes No
	c) Windstorm and Hail Exclusion	Yes No
	d) Stock Exclusion	Yes No
15.	What is the total maximum daily value of money and securities (i.e. checks) on the premises?
The policy includes limits of $10,000 inside the business and $2,000 while being delivered to the bank. If higher limits are desired, choose one of the following options: (Please note that in order to receive higher limits use of a safe on premises is required.)
	$20,000 / $4,000	$30,000 / $6,000
	$40,000 / $8,000	$50,000 / $10,000
16.	If loss of refrigeration coverage is desired, please provide the total value of property subject to refrigeration?

17.	Many property coverage forms provide for coverage similar to the limits below. If you require higher limits than listed please list below.
	Separate Limits for Each Coverage (unless you choose a blanket limit):
		Fire Dept. Service Charge/Fire Extinguisher Recharge	$2,500
		Money Orders and Counterfeit Currency	$2,500
		Forgery and Alteration	$2,500
		Increased Construction Cost (after a loss)	$5,000
		Glass	$2,500
		Signs	$2,500
		Customers' Goods on Premises	$10,000
		Back-up of Sewer/Drains	$2,500
		Personal Property Off Premises	$5,000
		Property In Transit	$5,000
		Valuable Papers/Records on premises	$10,000
		Accounts Receivable at the premises	$10,000
		Employees Dishonesty - ERISA	$2,500
	Indicate coverage area where you require limits higher than shown above:

Complete the following questions only if interested in purchasing insurance for the building. Home based businesses do not need to complete these questions.
18.	What is the 100% replacement value of the building?
19.	Are you interested in having one blanket limit for both building and business personal property?	Yes No
20.	What is the square footage of the entire building?
21.	How many stories in the building?
22.	What is the original year the building was built?
	If the building(s) is over 30 years old, indicate the year each of the following was updated:
	a) Electrical
	b) Roofing
	c) Plumbing
	d) Heating