Builders Risk Builders Risk Take Off Assigned to in EZSelect AgentJohn HansonEric RobertsJames CardenasDinora BenavidesCarlos BustamanteKlarissa SanchezSharon LozaMorgan LeverettCassidy BennettCarrie CunninghamAllison LynchAssigned to in Better AgencySelect AgentJohn HansonEric RobertsJames CardenasDinora BenavidesCarlos BustamanteKlarissa SanchezSharon LozaMorgan LeverettCassidy BennettCarrie CunninghamAllison LynchReferred By First Name Referred By Last Name First Name(Required) Last Name(Required) Date of Birth(Required) Email(Required) Phone Number(Required) Spouse's First Name Spouse's Last Name Date of Birth Email Phone Number Closing Date Loan Number Separate tags with commas Who is the home going to be title to? Liability(Required)YesNoBuilder's Risk(Required)YesNoCurrent Mailing Address: Street AddressCity City State StateZip Code Zip CodeConstruction Address: Street City City State StateZip Code Zip CodeTotal Square Feet(Required)Number of Stories(Required)Number of Bedrooms(Required)Number of Bathrooms(Required)Number of Garages(Required)FireplaceYesNoConstruction TypeSteelFrameBarndominiumExterior FinishBrick VeneerStuccoStone VeneerHardiplankAddtional Structures PoolYesNoPool FencedYesNoLoan AmountConstruction AmountLand Own / Purchase PriceCompletion Date MM slash DD slash YYYY Onsite Security Measures (fence, cameras, lighting) Contractors Name, Phone, AddressPost Tags Separate tags with commas
