Markel Indiana Dwelling Fire Program Rate Indication: Vacant
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Click Here for the Application - Click Here For Underwriting Guidelines PDF (Requires Adobe Acrobat Reader)
Applicant Info
All risks must be insured to 100% of market value.
Applicant Name:
  First Name: Last Name:
  Protection Class: Term: Months
Deductible: Risk Location:
  Dwelling's Value: Was Dwelling built before 1900?
  Coverage Options
  Related Private Structures (max of 50% of Coverage A value):
  Personal Property Coverage (max of 10% of Coverage A value):
  Vacant Premises Liability:
 
Medical Payments:
  Supplemental Heating:
  Vandalism & Malicious Mischief:
  Earth Movement Coverage:
 
 
Specialty Underwriters Group - P.O. Box 36385 Cincinnati, OH 45236  -  800-844-1815