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James Cantwell
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Robert Crist
Marc Dronkers
Jack Fritschi
Jeff Fritschi
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EARTHQUAKE INSURANCE
Proposed effective date
Applicant name
Phone number
(
)
Email address
* Required
Mailing address
Property address, if different
Wood frame construction
YES
NO
Year built
Structure type
SINGLE FAMILY DWELLING
CONDO
TOWNHOUSE
Square footage
Occupancy
OWNER
TENANT
Number of stories
Type of foundation
BASEMENT
SLAB
CRAWLSPACE WITH WOOD PERIMETER
CRAWLSPACE WITH CONCRETE PERIMETER
POST AND PIERS
STILTS
Grade
FLAT
< 20 degrees
> or = 20 degrees
Type of retrofitting
Bolting
Sheerwalls
Both
None
Unknown
Roof material
Composition Shingle
Tile
Tar / Gravel
Wood Shake
Requested dwelling replacement limit
CF&P insurance | P.O. Box 1979 | Oakland, CA 94604 | OFFICE PHONE (510) 433-4200
