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Builder’s Risk Change Request

Builder’s Risk Change Request

Contact Name
Location Address
MM slash DD slash YYYY
MM slash DD slash YYYY
Building Construction
Desired Deductible

100% Replacement Cost (Included)

Completed Value, Cost of Repair/Replacement, Labor, Reasonable Overhead and Profit, Delivery Charge and Excludes Land.
Disclaimer: Communications to this insurance agency by electronic mail or voice mail CANNOT be considered as binding or otherwise effective for ANY insurance protection/policy coverage. Our office will contact you via e-mail to confirm any information sent and please look for the policy change endorsement to follow. If you do not receive this endorsement from the insurance carrier, contact your agent immediately. Thank you.
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