Can this form be signed electronically?

Yes. Electronic signatures meet U.S. legal standards under the ESIGN Act (15 U.S.C. ch. 96) and UETA in most states, provided intent, consent, attribution, and record retention requirements are satisfied.

Is notarization required for the form?

Not typically required for builders risk evidence, but certain mortgagee or lender instructions may request notarized endorsements; check lender stipulations and applicable state notary rules.

What if the insured value changes during construction?

Notify the insurer promptly to adjust limits or schedule values. Failing to increase coverage when project value rises can create underinsurance and potential claim shortfalls.

Who should receive the certificate of insurance?

At minimum provide copies to the owner, lender/mortgagee, and general contractor. Subcontractors often require certificates that match minimum coverage and additional insured wording.

How long should I retain signed forms?

Retain for the active project term plus at least 7 years for contract and claim defense; follow IRS guidance for tax-related records and HIPAA for any PHI-related documents.

What if a lender requests different wording?

Request the lender’s exact required mortgagee clause in writing and provide it to the insurer. Discrepancies should be resolved before work begins to avoid later disputes.

Electronic Signature
Templates
Insurance
Builders Risk Insurance Form

Builders Risk Insurance Form

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

BUILDERS RISK INSURANCE FORM

Applicant / Insured Information

Applicant Name:

Mailing Address:

Contact Phone:

Email Address:

Date of Birth (if individual):

Entity Type: Individual Corporation LLC Other

Project Information

Project Name: Project Location: Brief Description of Work:

Construction Type:

Stories:

Square Footage:

Estimated Completed Value / Contract Price:

Anticipated Start Date:

Expected Completion Date:

Primary Contractor Name: Contractor Address:

Policy Details & Coverage Limits

Policy Number:

Policy Period From:

To:

Limit for Building / Work in Progress:

Materials / Stored on Site Limit:

Deductible:

Soft Costs / Delay in Completion Limit:

Premium Amount:

Coinsurance:

Coverage Selection

Select desired coverages (all coverage is subject to policy terms, conditions and exclusions):

All Risk (subject to exclusions)
Named Perils (specify perils below)
Theft Vandalism Windstorm Fire / Lightning
Collapse Transit / Loading and Unloading Off-site Storage Debris Removal
Ordinance or Law (Increased Cost of Construction)

Endorsements / Special Coverages Requested (describe):

Standard Exclusions (applicant to note any requested exception)

The policy will exclude, unless specifically endorsed, loss or damage caused directly or indirectly by:

Faulty workmanship, design, materials or latent defects;
Normal wear and tear, corrosion, deterioration or inherent vice;
War, insurrection, nuclear hazard, and governmental seizure;
Pollution or contamination unless caused by a covered peril;
Earth movement and flood unless specifically endorsed;

Requested exceptions or disclosures regarding exclusions:

Mortgagee / Additional Insured / Loss Payee

List mortgagees, lienholders or parties to be named as additional insured or loss payee. Attach separate schedule if necessary.

Mortgagee / Lienholder 1 - Name and Address: Mortgagee / Lienholder 2 - Name and Address: Additional Insureds (if any):

Claims & Notice Provisions

In the event of loss or occurrence giving rise to a claim, the insured shall:

Notify the insurer as soon as practicable and provide full particulars;
Protect the property from further damage and preserve records, receipts and estimates;
Permit inspection and appraisal of damaged property by representatives of the insurer;
Cooperate in the investigation and settlement of any claim and provide sworn statements if requested.

Designated Claims Contact:

Representations, Authorization & Certification

The undersigned certifies that the information contained herein is true and complete to the best of their knowledge. The applicant represents that no material fact or circumstance has been misstated or omitted. The applicant agrees that this form and any attachments shall be the basis of the policy and that coverage will be issued only if the insurer accepts the application and receives any required premium.

The applicant authorizes the insurer and its representatives to inspect the property, operations and records as necessary for underwriting and claims handling. Failure to disclose material facts may result in denial of coverage or rescission of the policy.

Applicant's Additional Declarations (if any):

Applicant Name:

By:

Date:

What the Builders Risk Insurance Form Covers

The Builders Risk Insurance Form documents coverage for property and materials during construction or renovation. It defines the insured property, project dates, policy limits, covered perils, and parties with an insurable interest such as owners, general contractors, and lenders. Typical submissions include a project description, estimated total completed value, location details, and any mortgagee or loss payee endorsements. The form creates a binder or policy endorsement that protects works-in-progress until handover or until a specified effective and expiration date under the insurance contract.

Why Using a Proper Form Matters

A correctly completed Builders Risk Insurance Form clarifies coverage boundaries, reduces ambiguity at claim time, and documents mortgagee interests and additional insureds. Accurate forms help prevent coverage gaps during high-risk construction phases and support timely claim handling by insurers.

Who Typically Completes This Form

Each signer should confirm names, project values, effective dates, and mortgagee language to align expectations across contracting parties.

Project Owners and Developers responsible for procuring insurance and naming mortgagees or additional insureds on the policy.
General Contractors who provide policy details, schedule of values, and request certificates for subcontractors.
Lenders and Mortgagees who require a loss payee or mortgagee clause to protect their financial interest.

Essential Sections of the Form

A professional Builders Risk Insurance Form organizes coverage, policy period, parties, project details, and limits clearly, and includes endorsements for mortgagees and code upgrades.

Insured Parties

List owner, contractor, subcontractors, and mortgagee names with full legal entity details so coverage and notices bind the correct parties.

Project Description

Provide project address, scope of work, building type, and any temporary structures to ensure the insurer evaluates exposure and excludes unrelated property.

Policy Period

Specify effective and expiration dates in MM/DD/YYYY format and note whether policy extends for testing, commissioning, or delay periods.

Covered Perils

Clarify which perils are included (fire, wind, theft, vandalism) and any exclusions such as workmanship defects or earthquake unless endorsed.

Limits & Deductibles

State total insured value, per-occurrence limits, and deductible amounts so claim payments and retained risk are predictable.

Mortgagee Clause

Include lender loss payee language and contact details for certificate issuance and claim notifications to protect the mortgagee's interest.

Critical Data to Include

Project Address: Full street address

Insured Name: Legal entity name

Policy Dates: MM/DD/YYYY range

Total Value: Estimated completed value

Mortgagee Info: Lender name and contact

Perils List: Included/excluded perils

Step-by-Step: Filling Out the Form

Follow these steps in order to prepare a complete Builders Risk Insurance Form and reduce the risk of processing delays or coverage disputes.

01

1. Gather documents: Collect contracts, loan details, and project plans.
02

2. Complete fields: Enter names, address, values, and dates precisely.
03

3. Confirm endorsements: Add mortgagee and additional insured endorsements.
04

4. Distribute copies: Send certificates to lender, owner, and contractors.

Configuring an Online Workflow

Set up a digital workflow to collect signatures, route endorsements, and store certificates securely with audit trails.

Field	Configuration
Signature Order	Owner first, then contractor, then lender
Authentication Method	Email link with SMS code optional
Document Format	Use PDF/A for long-term retention
Storage Location	Encrypted cloud folder with versioning

Digital Signing and Delivery Options

Ensure the platform supports retention, audit logs, and any industry compliance (for example, a BAA for healthcare-adjacent projects) before eSubmission.

File Formats: PDF and DOCX accepted
Integrations: Salesforce, NetSuite, Procore
Authentication: Email, SMS, or KBA available

Where to Send the Completed Form

Routing depends on contractual obligations: owner, lender, general contractor, and insurer typically need copies; use certificates of insurance to confirm coverage.

Insurer: Submit to issuing insurance carrier for binder or endorsement.
Mortgagee: Send certificate and mortgagee clause to the lender contact.
Owner / Developer: Provide a signed copy for project records.
Contractors: Distribute relevant certificates to subcontractors as required.

Typical Timing and Response Expectations

Timely completion and distribution prevent coverage gaps; insurers and lenders often require proof before site work begins or before draws are released.

Policy Effective Date Required:

Provide proof before mobilization or first draw

Certificate on Demand:

Supply certificate within 5–10 business days of a lender request

Claim Notice Timeline:

Report losses promptly per policy provisions; sooner improves recovery prospects

Endorsement Changes:

Allow insurer 5–10 business days to process endorsements

Renewal Preparation:

Start renewal 30–60 days before expiration to avoid lapses

Consequences of an Incorrect or Missing Form

Coverage Gap: Claims denied

Premium Adjustment: Higher rates or surcharge

Lien Exposure: Contractors may lose protection against liens

Delayed Draws: Lenders may withhold funds

Regulatory Fines: Possible state-level penalties

Contract Breach: Contractual remedies or disputes

Common Preparation Pitfalls

Entering an estimated completed value that omits soft costs or contingencies can lead to underinsurance and coinsurance penalties at claim time.
Failing to name the lender correctly or omitting loan details prevents the mortgagee clause from protecting the lender’s interest during a loss.
Using inconsistent legal names for the insured across documents causes administrative delays and may invalidate certificate matches.
Delaying endorsement requests until after work begins risks an uncovered loss during critical early construction stages.

eSignature Provider Pricing and Feature Snapshot

Compare entry pricing, envelope limits, and key compliance features when choosing an eSignature provider for builders risk workflows; signNow is listed first for comparison.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial	Varies	Varies	Varies	Varies
Bulk Send	Yes	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No
Envelope Cap	No cap	100 envelopes/user/year	Varies	Varies	Varies

Real-World Examples

These examples show how organizations documented builders risk coverage and streamlined endorsement distribution.

Martin Properties — Onboarding

The developer needed rapid evidence of coverage for multiple sites

Required mortgagee clauses prioritized
The digital workflow allowed centralized issuance of certificates to lenders and contractors while preserving a complete audit trail for each property transfer.

BIS — Claims Readiness

A construction services firm standardized project schedules across policies

Added specific perils for stored materials
Standardization reduced time to produce proof of insurance during insurer audits and improved consistency in claims documentation.

Practical Tips for Accurate Completion

Follow these best practices to reduce rework, avoid coverage gaps, and ensure smooth interactions with insurers and lenders.

Verify Legal Names

Confirm the exact legal names of insured entities and mortgagees using formation documents or lender instructions to prevent mismatches that can delay endorsements or claims.

Document Value Carefully

Include soft costs and contingency amounts in the estimated completed value to avoid coinsurance exposure and to align limits with contract requirements.

Coordinate Endorsements

Match additional insured and mortgagee wording to contract clauses so the policy language supports contractual risk allocation and payment priorities on loss.

Keep Versioned Records

Store signed forms, endorsements, and certificates with version control and an auditable access log to support claims or contractual disputes later.

Frequently Asked Questions

Answers to common questions about completing and submitting Builders Risk Insurance Forms, signature methods, and retention considerations.

Need help? Contact support

Can this form be signed electronically?
Yes. Electronic signatures meet U.S. legal standards under the ESIGN Act (15 U.S.C. ch. 96) and UETA in most states, provided intent, consent, attribution, and record retention requirements are satisfied.
Is notarization required for the form?
Not typically required for builders risk evidence, but certain mortgagee or lender instructions may request notarized endorsements; check lender stipulations and applicable state notary rules.
What if the insured value changes during construction?
Notify the insurer promptly to adjust limits or schedule values. Failing to increase coverage when project value rises can create underinsurance and potential claim shortfalls.
Who should receive the certificate of insurance?
At minimum provide copies to the owner, lender/mortgagee, and general contractor. Subcontractors often require certificates that match minimum coverage and additional insured wording.
How long should I retain signed forms?
Retain for the active project term plus at least 7 years for contract and claim defense; follow IRS guidance for tax-related records and HIPAA for any PHI-related documents.
What if a lender requests different wording?
Request the lender’s exact required mortgagee clause in writing and provide it to the insurer. Discrepancies should be resolved before work begins to avoid later disputes.

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