Property / Hangar Insurance | Intermountain Business Insurance LLC | South Jordan, Utah

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Property / Hangar Insurance Quote

Exact Name of Applicant:

Business or occupation of applicant:

Mailing Address:

City:

State:

Zip Code:

Contact Name:

Contact Telephone Number:

Contact Email Address:

Any losses or claims?

Yes

No

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Location or Building #1

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Property Description & Coverage Schedule

Structure Street Address

City

State

Zip Code

Airport Name

Airport Identifier

Is the hangar a new purchase for you?

Yes

No

Do you (Please check one):

Lease/rent this hangar

Own the hangar

Do you have a current policy?

Yes

No

When does your current policy expire or when do you anticipate starting coverage?

Is this hangar (please check one):

An individual hangar in a building that holds multiple hangars.

A stand alone hangar on its own.

Do you want this quote to include Premises Liability?

Yes

No

If yes, please advise the amount of Premises Liability requested

Please provide the value of the building

Area in Square Feet

Year of Construction

Type of Construction - Building

Type of Construction - Roof

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Contents

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(Do not include aircraft, vehicles, or boats)

Value of Business Personal Property (Example: Computers & Tools)

Items Included In Business Personal Property

Value of Mobile Equipment (Example: a Tug)

Items Included In Mobile Equipment

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Additional Information

Airport Fenced:

Yes

No

Alarm System:

Yes

No

What is your alarm type?

Fire Department on Airport:

Yes

No

Distance to Fire Department:

Distance to Tower:

Tower Hours:

Repair and Service Work in Hangar:

Yes

No

If yes, please explain:

Painting in Hangar

Yes

No

If yes, please explain:

Name and Address of Mortgagee:

Comments:

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We will get back to you as soon as possible

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Contact

1124 W S Jordan Pkwy STE B, South Jordan, Utah 84095

Business Hours

Mon - Fri: 9:00 am - 5:00 pm
Sat - Sun: Closed

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Intermountain Business Insurance LLC

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