Course of Construction

Insured's Information

If part of a larger group, i.e. a Diocese, please name your sub-group, parish, etc.

Insured's Address

Building Information

Address of Construction Site

(ex: Dwelling, Church, Hall, Kitchen,etc.)

Construction Type

Please indicate percentage; indicate 0 if not applicable or unknown.

Estimated building value upon completion:

For new building:

If this project is a renovation or addition:

Contractor Information

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