| 1. Nature of the construction project: |
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| 6. Type of Construction (Frame, Steel, Etc.) |
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| 7. Any underground structure? |
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| 8. Duration of the project in months |
Months |
| 9. Construction Hard Cost |
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| 10. Anticipated Selling Price |
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| 11. Name of the contact person: |
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* Insurance coverage cannot be bound or altered by this submission.
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