Please complete the following to obtain a quotation for a builders risk policy. Coverage is available in MA only.

No insurance coverage is bound nor effective until confirmation of coverage and a insurance binder is produced by McQueen Insurance.

                    

Builders Name                 

E-mail address                 

Your Address  Street        

                       City             State  MA  Zip

                    Telephone        Fax 

Have you been in business over 3 years building buildings?    

Have you filed any business related claims in the last 3 years?

If yes, please explain:



Property location:  
                       Street       

                   City              State  MA   Zip 

Type of building              

Type of Construction      


If Other please describe what you are building:  

   
                  

 

Cost to build                   $
Your cost to build should include your profit to build the property. Your Profit is limited and can not be more than 20% of the completed value of the building.

How many new properties have you built in the last 3 years? 
                        

How long do you expect it to take to build the property and sell it?
                

How do you want to receive your quotation?  

  

 

McQueen Insurance Agency, Inc. 
 Phone  (781) 893-1345  Fax (781) 893-0810
E-mail McQueen Insurance