AAIS Builders' Risk 01 10
Policy/Quote Number: Account/Client Number: 
Named Insured:
Jobsite Address:
City / State / Zip ,   
Agency Name:
Agency Code: Commission: %
Policy Period - Effective Date: Expiration Date: 
 
Construction:
Town Protection Class:
 
Description
Basic Load Risk Characteristics
 
Special Criteria
(Town Protection Class 9 and 10):
 
Basic Load: 0.000
 
Existing Building Modification
  1. Little or no increase in fire load due to debris and extensive cutting operations, value of construction work is less than 40% of existing building value, structural or load bearing walls are not being moved or modified.


  2. Increase in fire load due to debris and extensive cutting operations, value of construction work exceeds the value of the existing building, structural or load bearing walls are being moved or modified.


  3. Other


Modification:0.000
Modified Load:0.000
Coinsurance Percentage:%
Coinsurance Factor:0.000
Modified Load:0.000
Earthquake Characteristics:
MMI   US Quick Quake Score
Earthquake Intensity:
Earthquake Load: 0.000
Flood Characteristics:
Flood Zone:
Flood Load: 0.000
 
TOTAL LOAD: 0.000
 
Limit of Insurance: $0
Charge: 0
Premium: $0
Deductible Amount: $0
Deductible Factor:  0.000
Modified Premium: $0
IRPM Factor: 1.000
Builders' Risk Premium: $0
 
QUOTE SUMMARY
 
Builders' Risk Premium:$0
Delay in Completion Premium:$0
Green Building Coverage Premium:$0
Delay In Completion - Green Building Form Premium:$0
Historic Preservation Tax Credit Premium:$0
 
QUOTE TOTAL:$0
IRPM Worksheet
Risk Variations   Credit/Debit
1 Care and condition of equipment and premises %
 
2 Classification variations %
 
3 Cooperation of owners or operators with recommendations
with respect to structural features, segregation, and control of
hazards and maintenance of protective equipment
%
 
4 Damage and susceptibility %
 
5 Dispersion or concentration %
 
6 Employees: selection, training, supervision, experience %
 
7 Location: accessibility, congestion, and exposures %
 
8 Miscellaneous protective features or hazards %
 
9 Protective devices not otherwise reflected in rates %
 
10 Storage practices and hazardous operations %
 
11 Superior or inferior structural features %
 
12 Past losses relative to number of exposure units and subsequent preventive measures %