Builders Risk Quote Request | Erb & Young Insurance

Insured Information

Who is the policyholder? This is typically the property owner or the contractor.

Primary Insured

Insured Type *

Property Owner Contractor / Builder LLC / Entity

First Name *

Last Name *

Business / Entity Name

Email *

Phone *

Mailing Address

Street Address *

City *

State *

Zip *

Project Details

Information about the construction project location and scope.

Project Location

Important: An incorrect project address is one of the most common reasons claims are denied. Please verify before submitting.

Street Address *

City *

State *

Zip *

Project Scope

Project Type *

New Construction Remodel / Renovation Installation

Property Use *

Residential Commercial

Construction Type *

Square Footage

Total Completed Value *

Include all costs: labor, materials, overhead. Exclude land value.

Estimated Start Date *

Estimated Completion Date *

Existing Structure (Remodels)

Is there an existing structure to insure?

No Yes

Builder / Contractor Information

US Assure requires contractor experience as part of underwriting review.

General Contractor

Contractor Name *

License Number

Years of Experience *

Structures Built/Remodeled (Last 12 mo.) *

Additional Insureds

Are there additional insureds to list?

No Yes

Coverage Preferences

Select the coverage options relevant to this project.

Coverage Options

Standard Coverages (included)

Building materials & structure in place Materials in transit Temporary structures & scaffolding

Optional Endorsements

Flood coverage Earthquake / quake coverage Builder's profit (percentage of value) Debris removal Soft costs / delay in completion

Special Circumstances

Has construction already begun?

No Yes

Backdated applications may require underwriter review and can delay issuance.

Will any part of the structure be occupied during construction?

No Yes / Possible

Is a Waiver of Subrogation required?

Not Sure Yes No

Lender / Mortgagee Requirements

Additional Notes

Review & Submit

Confirm your information before submitting. Our team will follow up within 1 business day.

I confirm that the information provided is accurate to the best of my knowledge. I understand that Erb & Young Insurance will use this information to obtain a quote on my behalf and may contact me for clarification or additional details.

✓

Request Received

Your builders risk quote request has been submitted to Erb & Young Insurance. Our team will review your project details and be in touch within 1 business day — usually sooner.