Builders Risk Quote | The Magnolia Agency

top of page

Use tab to navigate through the menu items.

For Life Insurance

Call (601) 545-7002

First name*

Last name*

Email*

Phone*

Birthday*

Month

Day

Year

Current Mailing Address*

New Build Address*

Social Security Number/ Tax ID *

Named Insured is :*

Owner/Contractor

Owner

Contractor

Builders Name and Address *

Years experience the builder has doing similar projects*

What year did builder start their business *

Number of structures built in the past 12 months*

1-2

3-50

Other

Has the builder had a single loss over $10,000 in the last 3 years? *

Yes

No

Type of Project*

Residential

Commercial

Construction Type*

Wood Frame

Metal Frame

Number of stories *

Total Value of completed structure*

Square footage of completed structure *

Starting Date: *

Projected date of completion *

Mortgagee name and address

Address: 206 W Central Ave, Petal, MS 39465 Phone: (601) 545-7002

Hours: Monday - Friday 8 AM–4:30 PM • Saturday & Sunday Closed

bottom of page