Part 4 – Policy Information (Continued)
Start/Completion Date: to
# of Stories:
Will Structure be occupied during construction?
If yes, by whom?
Part 5 – Project Information
Has the project started? Yes No
If yes, date started:
If no, will renovations begin within 60 days of the policy effective date?
Is there a sales contract on this structure? Yes No
Estimated length of project in months
Scope of Work: Remodel – Remodeling of interior finishes; replacement of
interior fixtures, cabinets, flooring, etc. No changes to the
exterior or structure.
Remodel/Minor Structural – Remodel work as listed above
and minor changes to exterior (doors, windows, skylights,
exterior painting), roof replacement, ground floor additions
and all non- structural changes such as HVAC, plumbing and
Restructuring – Repair, replace, remove load bearing walls.
Adding additional stories, adding stairways or elevators.
Foundation work such as underpinning and/or dewatering.
Description of work to be performed: