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Lighthouse Santa Cruz

CREATING PEACE OF MIND
SINCE 1964

Commercial Property Insurance Questionnaire

Business Information

Building and Property Information (if applicable):

Is the building Sprinklered?
Yes
No
Does the building have an alarm?
Yes
No
Is the building monitored?
Yes
No
Does the building have a fire alarm?
Yes
No

Updates: IMPORTANT

**If building is 20 years or older, please complete form Older Building Supplemental.

Coverage Requested

Building Ordinance:
Yes
No
Earthquake:
Yes
No
Flood:
Yes
No
Umbrella/Excess Liability Coverage:
Yes
No
Limit:
$1 million
$2 million
$3 million
Other

*Please note: if you leave this page before hitting submit, your form will not be saved.

Interested in other coverage options or a package discount?

Earthquake Insurance
Flood Insurance
Personal Umbrella Protection
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