Course of Construction Insurance Quote in Hawaii, Oregon, and California

Thank you for your interest in receiving a course of construction quote. This form should only take about 5 minutes to complete. Don't worry if you don't have everything. You can always click the "Save and continue later" button below. We'll email you a private link to pick up where you left off.
Name*
First Name Last Name
Email*
Mobile Phone*
Date of Birth*
MM
DD
YYYY
Date you want this policy to start*
Date Format: MM slash DD slash YYYY

Property & Mailing Address
Property Address*
Street Address City State ZIP Code
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Planning Stage Questions
Is the property titled in a name Other Than your personal name(s)?*
(i.e. Trust, Corporation, LLC, etc.)
- Yes
- No
Name on title or property*
Have you started construction?*
- Yes
- No
Where are you in the construction process?
When do you plan to start with the foundation work?
Estimated time of completion*
Estimated cost of project (Not including land)*
This estimate should include site work, architects fees, permit fees, interior design, labor, and materials.
Do not include the purchase of the land, or landscaping in this estimate.
Will you be using a licensed and insured General Contractor?*
- Yes
- No
- I'm building the structure myself
Name of General Contractor*
Contractor's License Number
What type of experience do you have building homes?*

Property Information
Type of Home*
Square Footage*
Foundation Type*
SLAB ON GROUND A substructure that is constructed on-site and built flush on a concrete slab.
BASEMENT A basement is an excavated area below the ground floor, typically at least 8 feet in depth, which includes the walls, a slab floor, and a stairway from the ground floor. The total percentage of the first floor of the residence that has basement below.
OPEN FOUNDATION A raised substructure not structurally attached to the foundation; sometimes enclosed with lattice.
CRAWL SPACE An excavated or unexcavated foundation area below a residence, less than 5 feet in depth, that is generally used for access to plumbing and heating equipment.
POSTS & PIERS A substructure generally rectangular in cross section, supporting the base of the dwelling.
Other type of home*
Construction Type (Framing)*
Number of Stories*
Exterior Siding*
Other Number of Stories*
Roofing Material*
Roof Design*
Flat: A horizontal or nearly horizontal roof.
GABLE: A ridged roof forming a triangle at each end of the building.
HIP: A roof that slopes on all sides; there are no vertical sides.
Hurricane Clips / Straps*
Does the structure have hurricane impact resistant glass?*
- Yes
- No
Will the structure have solar panels?*
- Yes
- No
How many solar panels?*
Replacement Value of Solar Panels*
Solar Panels Are*
- Owned
- Leased
Garage*
Other type of Garage*
Replacement Value of Detached Garage*

Wrapping Up
Would you like a quote from a specific agent?
How were you referred to us?
Is there anything else you want us to know?
Consent*
Like most insurance agencies, Culley Insurance Group uses information from you and other sources, such as your driving and claims histories, insurance score, and other factors to calculate an accurate rate for your insurance. New or updated information may be used to calculate your renewal premium.
I Agree
All the above information is accurate and true to the best of my knowledge.*
- Yes
Would you like to create a user account to manage your submissions?*
- Yes, create my account
- Not at this time
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Course of Construction Insurance Quote