Commercial Structure Addition Form Form to be utilized for commercial buildings, including apartments that are 5-plex and up Step 1 of 3 33% **All additions will be processed the date that we receive the request in our office. You must complete one form per property, if you have have multiple additions. **Name Insured(Required) Date(Required) MM slash DD slash YYYY Policy #(Required) Email(Required) Building Description (Name)(Required) Please describe what the structure is used for:(Required)Attach Photos of Buildings **Photos of all buildings are required**(Required) Drop files here or Select files Max. file size: 100 MB, Max. files: 10. Type of Coverage(Required)BuildingBuilders RiskLeased Building (Business Personal Property)Contractor Estimated Completion Date MM slash DD slash YYYY Type of Builders RiskRenovation RehabNew StructureConstruction Type(Required)FrameFire Resistive (3+ hour fire rating)Joisted MasonryNon-CombustibleMasonry Non-CombustibleModified Fire ResistiveConstruction Year(Required) Exterior Square Foot(Required) Building UpgradesExterior Siding(Required)Brick Veneer, face brickBrick Veneer, standardConcrete BlockMetal Siding, corrugated aluminumMetal Siding, corrugated aluminum, paintedSiding, vinylStone Veneer, Arizona stoneStone Veneer, LimestoneStoneOther-Please state belowOther Siding-Please state below Roofing Material(Required)Built-Up Tar and GravelCorrugated AluminumCorrugated CompositionMetal, Other than standing seamMetal, Standing seamSingles, AsphaltShingles, CompositionTile, Clay, SpanishTile, Concrete, FlatOther-Please state belowOther Roofing Material-Please state below Geometric Shape(Required)Angular ( Few to no right angles)ComplicatedH-ShapedI-ShapedL-ShapedRectangularRoundedSquareT-ShapedU-ShapedBasement(Required)YesNoExterior Decks(Required)YesNo Is Premises equipped with automatic sprinkler system?(Required) Yes No Last time automatic sprinker system inspected(Required) MM slash DD slash YYYY Describe any safety and/or fire measures you have implemented:Vacant:(Required) Yes No If yes, how long? ( # of days, or # of months, 3 or # of years)(Required) Stated Building Value(Required)Business Personal Property Limit(Required)**All values will be evaluated by the Underwriting Department** Please note that this BPP coverage is for Personal Property that is within 100ft of the structure. Business Income LimitAddress(Required) Physical Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code CAPTCHAEmailThis field is for validation purposes and should be left unchanged. Why AMERIND? Vision & Mission Our Team Board of Directors AMERIND Products and Services Tribal Government & Business Tribal Workers’ Compensation Tribal Auto Program Homeowners & Renters AMERIND Employee Benefits AMERIND Critical Infrastructure Indian Housing Block Grant News & Resources Latest News Newsletter Archive Events Calendar Safety Resources Community Outreach Charitable Giving Scholarships, Grants & Awards RFP/Job Posting Sharing Contact General Inquiries Submit a Claim Property Addition and Deletion Forms and Reference Guide Careers
Commercial Structure Addition Form Form to be utilized for commercial buildings, including apartments that are 5-plex and up Step 1 of 3 33% **All additions will be processed the date that we receive the request in our office. You must complete one form per property, if you have have multiple additions. **Name Insured(Required) Date(Required) MM slash DD slash YYYY Policy #(Required) Email(Required) Building Description (Name)(Required) Please describe what the structure is used for:(Required)Attach Photos of Buildings **Photos of all buildings are required**(Required) Drop files here or Select files Max. file size: 100 MB, Max. files: 10. Type of Coverage(Required)BuildingBuilders RiskLeased Building (Business Personal Property)Contractor Estimated Completion Date MM slash DD slash YYYY Type of Builders RiskRenovation RehabNew StructureConstruction Type(Required)FrameFire Resistive (3+ hour fire rating)Joisted MasonryNon-CombustibleMasonry Non-CombustibleModified Fire ResistiveConstruction Year(Required) Exterior Square Foot(Required) Building UpgradesExterior Siding(Required)Brick Veneer, face brickBrick Veneer, standardConcrete BlockMetal Siding, corrugated aluminumMetal Siding, corrugated aluminum, paintedSiding, vinylStone Veneer, Arizona stoneStone Veneer, LimestoneStoneOther-Please state belowOther Siding-Please state below Roofing Material(Required)Built-Up Tar and GravelCorrugated AluminumCorrugated CompositionMetal, Other than standing seamMetal, Standing seamSingles, AsphaltShingles, CompositionTile, Clay, SpanishTile, Concrete, FlatOther-Please state belowOther Roofing Material-Please state below Geometric Shape(Required)Angular ( Few to no right angles)ComplicatedH-ShapedI-ShapedL-ShapedRectangularRoundedSquareT-ShapedU-ShapedBasement(Required)YesNoExterior Decks(Required)YesNo Is Premises equipped with automatic sprinkler system?(Required) Yes No Last time automatic sprinker system inspected(Required) MM slash DD slash YYYY Describe any safety and/or fire measures you have implemented:Vacant:(Required) Yes No If yes, how long? ( # of days, or # of months, 3 or # of years)(Required) Stated Building Value(Required)Business Personal Property Limit(Required)**All values will be evaluated by the Underwriting Department** Please note that this BPP coverage is for Personal Property that is within 100ft of the structure. Business Income LimitAddress(Required) Physical Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code CAPTCHAEmailThis field is for validation purposes and should be left unchanged.