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Insurance Inspection Form

Insurance Inspection Form

Date:
Full Name of Insured:
Street Address of Insured:
City:
State:
Zip:
Agency Name:
Agency Email Address:
Picture Front: Yes   No
Picture Rear: Yes   No
Measurements: Yes   No
Detached Garage: Yes   No
Enter Additional Comments:

Price Schedule as of January 1st, 2007

Photos   Additional Services
Front Only $11.00   Dealers Open Lot $30.75
Front and Rear $12.50   Building Evaluation $19.50
Front, Rear, and Measure $14.00   Safe $20.00
Front, Rear, and Garage $14.00   Burglary (open stock) $20.00
Front, Rear, Measure, and Garage $15.50   Money and Securities $25.50
      M and C $41.75
Fuse Box (appointment required) $24.75   Worker Compensation $41.75
      O L and T $20.50
New Construction without lot and street number $16.00   Products Liability (light) $49.75
      Garage Liability $29.75
Dwellings (guard or gate) $24.75   Comp General Liability $41.75
      Plate Glass (no measurement) $15.00
Additional Photos (each) $1.50   Plate Glass (8 or less plates) $20.00
      Plate Glass (9 or more) Hourly
We will reduce our rates by 25% when ordering 25 locations within any 30-day period.   Multiple Occupancies/Special Hazard Exposure (per hour) Hourly
    Re-inspection $16.00

Each underwriting report includes one front and one rear photo

  Commercial Vehicle Report $30.75
      Incomplete CGL's $20.75
Service area includes the counties of: Cook, DuPage, Lake, Kane, McHenry
and Will only. All other counties will
be time and distance fee.
     
 

Hourly Rate is $45.00 per hour

Fax Requests: 630.584.3390