Builder’s Risk Insurance – HIFA Insurance Brokers

Business details:

Legal name

Operating name (if any)

Address

Street address

Unit#, etc.

City

Province

Postal code

Main phone

Main email

Website

Legal entity:

Sole proprietorship

Partnership

Incorporation

Others

Legal entity others

Contact person details:

First name

Last name

Contact person's phone no

Contact person's email

Insurance details:

Current insurance company name (if applicable)

Current insurance policy number (if applicable)

Effective/renewal date

If renewal was not being offered, please explain

Describe all claims, including any outstanding, and fees for the last five years including any accidents, facts, circumstances or allegations which may give rise to a claim:

What action has been taken to eliminate future accidents?

Has any similar insurance applied for or carried by the applicant been declined or cancelled by any insurer within the last three years?

Yes

If “Yes”, please provide full details.

Business risk assessment:

Address

Street address

Unit#, etc.

City

Province

Postal code

Property owner

Type of policy:

New construction

Remodel (please complete renovation information section at the end)

Mortgagee/loss payee:

Lender's name

Mailing address

Street address

Unit#, etc.

City

Province

Postal code

Business details:

Contact person details:

Insurance details:

Business risk assessment:

Renovation information:

a) Existing structure

b) Completed structure

Mortgagee/loss payee:

Mailing address

Builder/general contractor questionnaire:

Mailing address

Finding exactly the right insurance coverage is not a daunting process at HIFA. We’ll make it straightforward and hassle-free so you’ll know exactly what you’re getting and can feel confident that you have the right coverage.