Risk Assessment for Sewer Backup & Overland Water
Agent/Broker Name
Client
Risk Location:
Street Address
City
Postal Code
Find Lat/Lon
Latitude
Longitude
Construction Type
Inflexible
Number of Stories
0 (or 4+)
1
2
3
Coverage Limits
Building
Contents
Sewer Backup
Coverage
Yes
No
Deductible
$2,500.00
$5,000.00
Coverage Amount
$5,000.00
$10,000.00
$15,000.00
$25,000.00
$50,000.00
$75,000.00
$100,000.00
Policy Limits
Overland Water
Coverage Type
Plus
Basic
Deductible
$2,500.00
$5,000.00
Coverage Amount
$10,000.00
$25,000.00
$50,000.00
$100,000.00
$150,000.00