Insurance Quote Form - BizDynamics

Quote ID QCP004812

Account Hilton Garden Inn

State Alaska

Date Created 01/01/2022

Last Update 09/15/2022

Premium $16,000

Account

Risk

Coverage

Deficiency Points

Premium Summary

Forms

Property Coverage

Classification Category

Risk Class

Class Group *

Building Limit *

Property Limit *

Property Deductible *

Automatic Increase *

Property Loss History

Auto-retrieved by LossH

Have There been losses in Last Three Years *

Loss history automatically retrieved from industry database. Please verify the information below.

ID	Year	Date Of Loss	Loss Type	TIV	Gross Loss	Gross Normal Loss	Deductible	Net Normal Loss
1	2022	10-07-2022	Building and BPP	$10,000	$4,000	$5,000	$250	($4,750)
2	2021	10-01-2021	Building and BPP	$10,000,000	$3,500	$5,000	$250	($4,750)
Total							$500	($9,500)

Income Selection

Risk Type *

Coverage

Limit *

Coinsurance *

Monthly Limitation

Payroll Options *

COP Equipment Breakdown Selection

Classification Category *

Risk Class *

Property Damage Class Group *

Income Risk Classification Group *

Property Damage Limit *

Income Limit *

COP Spoilage Selection